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Michaels Project Inc
Nursing Facility/Intermediate Care Facility in Fairfield, California
NPI 1013125749

Michaels Project Inc is a Nursing Facility/Intermediate Care Facility based in Fairfield, CA. Michaels Project Inc practices in Fairfield, CA. The NPI Number for Michaels Project Inc is 1013125749 and holds a License No. (California).

The current practice location address for Michaels Project Inc is 1132 Gulf Dr, Fairfield, CA and can be reached out via phone at 707-422-3061 and via fax at 707-422-3062.

Location: 1132 Gulf Dr, Fairfield, CA, 94533-7716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013125749
Provider Name
Michaels Project Inc
Credential
Provider Entity Type
Organization
Address
1132 Gulf Dr, Fairfield, CA, 94533-7716
Phone Number
707-422-3061
Fax Number
707-422-3062
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80163G 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1132 Gulf Dr
City
Fairfield
State
California
Zip
94533-7716
Phone Number
707-422-3061
Fax Number
707-422-3062
person
Provider Business Mailing Address Details
Address
1132 Gulf Dr
City
Fairfield
State
California
Zip
94533-7716
Phone Number
707-422-3061
Fax Number
707-422-3062
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
(California)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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