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Mary Krystal Home Llc
Adult Care Home Facility in San Diego, California
NPI 1891227120

Mary Krystal Home Llc is an Adult Care Home Facility based in San Diego, CA and is specialized in Adult Care Home. Mary Krystal Home Llc practices in San Diego, CA. The NPI Number for Mary Krystal Home Llc is 1891227120 and holds a License No. 374602747 (California).

The current practice location address for Mary Krystal Home Llc is 2361 Montcliff Rd, San Diego, CA and can be reached out via phone at 619-267-3625. You can also correspond with Mary Krystal Home Llc through the mailing address at 2361 MONTCLIFF RD, SAN DIEGO, CA - 92139-3914 (mailing address contact number: 619-267-3625).

Location: 2361 Montcliff Rd, San Diego, CA, 92139-3914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891227120
Provider Name
Mary Krystal Home Llc
Credential
Provider Entity Type
Organization
Address
2361 Montcliff Rd, San Diego, CA, 92139-3914
Phone Number
619-267-3625
Fax Number
Provider Enumeration Date
03/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
374602747 05 CA
institution
Provider Business Practice Location Address Details
Address
2361 Montcliff Rd
City
San Diego
State
California
Zip
92139-3914
Phone Number
619-267-3625
Fax Number
person
Provider Business Mailing Address Details
Address
2361 Montcliff Rd
City
San Diego
State
California
Zip
92139-3914
Phone Number
619-267-3625
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
374602747 (California)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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