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POSITIVE LIFESTYLES, LLC

Intermediate Care Facility, Mental Illness

Delano, California

Provider NPI: 1891841607

Organization Information:
Organization Name:  POSITIVE LIFESTYLES, LLC


Practice Location:
302 BALBOA DR  DELANO, CA 93215 US
Tel: 661-725-7960  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
CA12-0000428
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
CA12-0000429

Other Provider Identifiers:

IssuerNumberStateType
LONG-TERM CARE FACILITYLTC80114GCA01
LONG-TERM CARE FACILITYLTC80113GCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS CA - Page 1