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Marcee Lynn Hirst
Intellectual Disabilities Intermediate Care Facility in Riverside, California
NPI 1700927373

Marcee Lynn Hirst is a Intellectual Disabilities Intermediate Care Facility based in Riverside, CA. Marcee Lynn Hirst practices in Riverside, CA. The NPI Number for Marcee Lynn Hirst is 1700927373 and holds a License No. 250000758 (California).

The current practice location address for Marcee Lynn Hirst is 11966 Tilden Pl, Riverside, CA and can be reached out via phone at 951-789-9698.

Location: 11966 Tilden Pl, Riverside, CA, 92515-8175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700927373
Provider Name
Marcee Lynn Hirst
Credential
Provider Entity Type
Organization
Address
11966 Tilden Pl, Riverside, CA, 92515-8175
Phone Number
951-789-9698
Fax Number
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80294F 05 CA
institution
Provider Business Practice Location Address Details
Address
11966 Tilden Pl
City
Riverside
State
California
Zip
92505-3143
Phone Number
951-789-9698
Fax Number
person
Provider Business Mailing Address Details
Address
11966 Tilden Pl
City
Riverside
State
California
Zip
92505-3143
Phone Number
951-789-9698
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
250000758 (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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