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Marie's Private Quarters
Intellectual Disabilities Intermediate Care Facility in Gardena, California
NPI 1447468657

Marie's Private Quarters is a Intellectual Disabilities Intermediate Care Facility based in Gardena, CA. Marie's Private Quarters practices in Gardena, CA. The NPI Number for Marie's Private Quarters is 1447468657 and holds a License No. (California).

The current practice location address for Marie's Private Quarters is 2512 W 134Th Pl, Gardena, CA and can be reached out via phone at 310-532-4288 and via fax at 310-532-6204.

Location: 2512 W 134Th Pl, Gardena, CA, 90249-1646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447468657
Provider Name
Marie's Private Quarters
Credential
Provider Entity Type
Organization
Address
2512 W 134Th Pl, Gardena, CA, 90249-1646
Phone Number
310-532-4288
Fax Number
310-532-6204
Provider Enumeration Date
05/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2512 W 134Th Pl
City
Gardena
State
California
Zip
90249-1646
Phone Number
310-532-4288
Fax Number
310-532-6204
person
Provider Business Mailing Address Details
Address
2512 W 134Th Pl
City
Gardena
State
California
Zip
90249-1646
Phone Number
310-532-4288
Fax Number
310-532-6204
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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