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MACKELLAH HOME

Adult Care Home

Citrus Heights, California

Provider NPI: 1043300320

Organization Information:
Organization Name:  MACKELLAH HOME


Practice Location:
6813 MARINVALE DR  CITRUS HEIGHTS, CA 95621 US
Tel: 916-725-6348  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
CA347000955

Other Provider Identifiers:

IssuerNumberStateType
CARE HOME34DPCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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