Provider Demographics
NPI:1134429590
Name:MANISCALCO LLC
Entity type:Organization
Organization Name:MANISCALCO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/RN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANISCALCO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:760-738-1926
Mailing Address - Street 1:639 N ESCONDIDO BLVD
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-1701
Mailing Address - Country:US
Mailing Address - Phone:760-738-1926
Mailing Address - Fax:760-738-1928
Practice Address - Street 1:639 N ESCONDIDO BLVD
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-1701
Practice Address - Country:US
Practice Address - Phone:760-738-1926
Practice Address - Fax:760-738-1928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health