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MEK NORWOOD PINES LLC

Alzheimer Center

Sacramento, California

Provider NPI: 1801892096

Organization Information:
Organization Name:  MEK NORWOOD PINES LLC


Practice Location:
500 JESSIE AVENUE  SACRAMENTO, CA 95838 US
Tel: 916-922-7177  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
CA030000010
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
CA

Other Provider Identifiers:

IssuerNumberStateType
CLIA ID NUMBER05D0988752CA01
ZZR06045KCA05
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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