MARNA E. CARLI
Intermediate Care Facility, Mentally Retarded
Paradise, California
Provider NPI: 1013927102
Organization Information:Organization Name: MARNA E. CARLI
Practice Location:
5577 CARLI CT PARADISE, CA 95969 US
Tel: 530-872-2296 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:
5577 CARLI CT PARADISE, CA 95969 US
Tel: 530-872-2296 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | CA | 230000299 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDI-CAL | LTC80250F | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin