Mary Krystal Home Llc

LBN: Mary Krystal Home Llc
Mary Krystal Home Llc is an health care organization with primary practice located at 2361 Montcliff Rd , San Diego CA 92139-3914. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Mary Krystal Home Llc can be contacted via phone (619) 267-3625, or through Pullin, Leonora Toledo via phone (619) 267-3625.

Contact Information

Primary practice address
2361 Montcliff Rd San Diego CA 92139-3914
Phone: (619) 267-3625
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pullin, Leonora Toledo PHARMACY TECH
Phone: (619) 267-3625

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 374602747 California

Profile Details

NPI number 1891227120
LBN Legal business name Mary Krystal Home Llc
DBA Doing business as
Authorized official Pullin, Leonora Toledo PHARMACY TECH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2017
Last updated Mar 27th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891227120 NPPES
California MEDICAID 374602747

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