Mary'S House in Lawndale - Intermediate Care Facility, Intellectual Disabilities

Mary'S House - NPI 1568679959

Mary'S House is a Intermediate Care Facility, Intellectual Disabilities in Lawndale, California. Mary'S House practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Mary'S House is 1568679959. The last update date is 2008-07-03.

Mary'S House's current location address is 14901 Condon Ave, Lawndale, California. You can contact this provider via phone number 3107393585 and fax number 3106754551. The mailing address for Mary'S House is 14901 Condon Ave, Lawndale, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mary'S House
Address 14901 Condon Ave, Lawndale, California
Phone Number 3107393585
Fax Number 3106754551
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSEE
Authorized Official Name Hardin Eugene
Credentials M.D.
Telephone Number 3107393585

NPI Number Detail

NPI Number 1568679959
Provider Enumeration Date 2007-05-17
Last Updated Date 2008-07-03

Provider Mailing Address Detail

Address 14901 Condon Ave
City Lawndale
State California (CA)
Post Code 902601216
Phone Number 3107393585
Fax Number 3106754551

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 960000992
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
156867995901 CA MEDI-CAL

Post Comment/ Review Below

FAQs about Mary'S House

What is the unique 10-digit identifier code issued to Mary'S House by the Centers for Medicare & Medicaid Services?

The Mary'S House has been assigned the NPI (National Provider Identifier) 1568679959 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Mary'S House's physical address?

The Mary'S House is physically located at 14901 Condon Ave, in the city of Lawndale, CA, with the postal code 902601216.

What is Mary'S House's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary'S House is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.

On what date was the 1568679959 assigned to Mary'S House?

The Mary'S House was issued its 1568679959 on 2007-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Mary'S House most recently updated?

The details pertaining to the Mary'S House, including its address, specialty, and other relevant information, were last refreshed on 2008-07-03.

Other Providers of Intermediate Care Facility, Intellectual Disabilities
Colorado West Regional Mental Health, Inc.

NPI Number: 1992708176

Address: Po Box 3807, Grand Junction, CO

Mclean County Center For Human Services, Inc

NPI Number: 1245233493

Address: 108 W Market St, Bloomington, IL

Directions For Mental Health Inc

NPI Number: 1134122377

Address: 1437 S. Belcher Road, Clearwater, FL

County Of Hyde Office Of Accountant

NPI Number: 1962405159

Address: 1151 Main Street, Swanquarter, NC

Willamette Family, Inc

NPI Number: 1376546291

Address: 687 Cheshire Ave, Eugene, OR

Keystone Substance Abuse Services

NPI Number: 1255334009

Address: Po Box 4437, Rock Hill, SC

Psychosocial Rehabilitation Center Inc

NPI Number: 1174526743

Address: 5711 S Dixie Hwy, South Miami, FL

Desoto Hospital Association

NPI Number: 1467455154

Address: 207 Jefferson St, Mansfield, LA

Guidance/care Center, Inc.

NPI Number: 1184627739

Address: 3000 41st Street Ocean, Marathon, FL

Granite Vna, Inc.

NPI Number: 1164425583

Address: 30 Pillsbury St, Concord, NH

Josephine County

NPI Number: 1295737336

Address: 301 Nw F Street, Grants Pass, OR

Western Arkansas Counseling & Guidance Center, Inc

NPI Number: 1326040692

Address: Po Box 11818, Fort Smith, AR

South Carolina Youth Advocate Program

NPI Number: 1790789501

Address: 140 Stoneridge Dr, Columbia, SC

Buffalo Beacon Corporation

NPI Number: 1083618672

Address: 3354 Sheridan Dr, Amherst, NY

Cass County Commmunity Mental Health Services

NPI Number: 1659375293

Address: 960 E State St, Cassopolis, MI