Mission Lodge Sanitarium Llc

LBN: Mission Lodge Sanitarium Llc
Mission Lodge Sanitarium Llc is an health care organization with primary practice located at 824 S Gladys Ave , San Gabriel CA 91776-2710. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Mission Lodge Sanitarium Llc can be contacted via phone (626) 287-0753, or through Reynolds, Brian K. via phone (410) 513-8738.

Contact Information

Primary practice address
824 S Gladys Ave San Gabriel CA 91776-2710
Phone: (626) 287-0753
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Brian K.
Phone: (410) 513-8738

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1184924953
LBN Legal business name Mission Lodge Sanitarium Llc
DBA Doing business as
Authorized official Reynolds, Brian K.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2010
Last updated Jun 10th, 2015 - about 9 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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