MENNONITE BRETHREN HOMES, INC
Assisted Living Facility
Reedley, California
Provider NPI: 1225142755
Organization Information:Organization Name: MENNONITE BRETHREN HOMES, INC
Practice Location:
703 W HERBERT AVE REEDLEY, CA 93654 US
Tel: 559-638-6933 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:
703 W HERBERT AVE REEDLEY, CA 93654 US
Tel: 559-638-6933 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CA | 100404809 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 040000136 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ZZR05965F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin