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Marycrest Manor
Parenteral & Enteral Nutrition Supplies (DME) in Culver City, California
NPI 1932193984

Marycrest Manor is a Parenteral & Enteral Nutrition Supplies (DME) based in Culver City, CA and is specialized in Parenteral & Enteral Nutrition. Marycrest Manor practices in Culver City, CA. The NPI Number for Marycrest Manor is 1932193984 and holds a License No. 910000079 (California).

The current practice location address for Marycrest Manor is 10664 Saint James Drive, Culver City, CA and can be reached out via phone at 310-838-2778 and via fax at 310-838-9647.

Location: 10664 Saint James Drive, Culver City, CA, 90230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932193984
Provider Name
Marycrest Manor
Credential
Provider Entity Type
Organization
Address
10664 Saint James Drive, Culver City, CA, 90230
Phone Number
310-838-2778
Fax Number
310-838-9647
Provider Enumeration Date
09/06/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT05196F 05 CA
institution
Provider Business Practice Location Address Details
Address
10664 Saint James Drive
City
Culver City
State
California
Zip
90230
Phone Number
310-838-2778
Fax Number
310-838-9647
person
Provider Business Mailing Address Details
Address
10664 Saint James Drive
City
Culver City
State
California
Zip
90230
Phone Number
310-838-2778
Fax Number
310-838-9647
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
910000079 (California)
Definition
Definition to come...
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