NPI 1194098970 MARINE RESIDENTIAL CARE HOME ELK GROVE CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Marine Residential Care Home - NPI: 1194098970

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: MARINE RESIDENTIAL CARE HOME
NPI Number: 1194098970
Entity Type Code: Organizational (2)
Authorized Official Name: JULIEBETH B ARZADON
(LICENSEE)
Mailing Address: 9649 Sea Cliff Way
Elk Grove
State: CA US
Postal Code: 957587131
Phone Number: 9166473250
Fax Number: 9163595182
NPI Enumeration Date: 02/09/2012
NPI Last Update Date: 02/09/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 310400000X
License Number: 347003529
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Nursing & Custodial Care Facilities
Taxonomy Classification: Assisted Living Facility
Taxonomy Specialization:
Taxonomy Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


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