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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
500 JESSIE AVENUE SACRAMENTO, CA 95838 US
Tel: 916-922-7177 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | CA | 030000010 |
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | CA |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
CLIA ID NUMBER | 05D0988752 | CA | 01 |
ZZR06045K | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin