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Mary's House
Intellectual Disabilities Intermediate Care Facility in Lawndale, California
NPI 1568679959

Mary's House is a Intellectual Disabilities Intermediate Care Facility based in Lawndale, CA. Mary's House practices in Lawndale, CA. The NPI Number for Mary's House is 1568679959 and holds a License No. 960000992 (California).

The current practice location address for Mary's House is 14901 Condon Ave, Lawndale, CA and can be reached out via phone at 310-739-3585 and via fax at 310-675-4551.

Location: 14901 Condon Ave, Lawndale, CA, 90260-1216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568679959
Provider Name
Mary's House
Credential
Provider Entity Type
Organization
Address
14901 Condon Ave, Lawndale, CA, 90260-1216
Phone Number
310-739-3585
Fax Number
310-675-4551
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
156867995901 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
14901 Condon Ave
City
Lawndale
State
California
Zip
90260-1216
Phone Number
310-739-3585
Fax Number
310-675-4551
person
Provider Business Mailing Address Details
Address
14901 Condon Ave
City
Lawndale
State
California
Zip
90260-1216
Phone Number
310-739-3585
Fax Number
310-675-4551
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
960000992 (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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