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Mr. Bongani Peter Mazibuko
Assisted Living Facility in Bakersfield, California
NPI 1720769367

Bongani Peter Mazibuko is an Assisted Living Facility based in Bakersfield, CA. Bongani Peter Mazibuko practices in Bakersfield, CA. The NPI Number for Bongani Peter Mazibuko is 1720769367 and holds a License No. 157209325 (California).

The current practice location address for Bongani Peter Mazibuko is 9013 Staten Island Dr, Bakersfield, CA and can be reached out via phone at 661-501-1439.

Location: 9013 Staten Island Dr, Bakersfield, CA, 93314-8221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720769367
Provider Name
Bongani Peter Mazibuko
Credential
Provider Entity Type
Individual
Gender
Male
Address
9013 Staten Island Dr, Bakersfield, CA, 93314-8221
Phone Number
661-501-1439
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9013 Staten Island Dr
City
Bakersfield
State
California
Zip
93311-9671
Phone Number
661-501-1439
Fax Number
person
Provider Business Mailing Address Details
Address
9013 Staten Island Dr
City
Bakersfield
State
California
Zip
93311-9671
Phone Number
661-501-1439
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
157209325 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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