Marin Assoc For Retarded Cizen

LBN: Lifehouse Ine
Marin Assoc For Retarded Cizen is an health care organization with primary practice located at 100 Smith Ranch Rd Suite 309, San Rafael CA 94903-1900. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Lifehouse Ine can be contacted via phone (415) 472-2373, or through Teague, Merlyn via phone (415) 472-2373.

Contact Information

Primary practice address
100 Smith Ranch Rd Suite 309 San Rafael CA 94903-1900
Phone: (415) 472-2373
Fax: (415) 472-5739
Website:
Map and Directions
Authorized official contact:
Name: Teague, Merlyn
Phone: (415) 472-2373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1528240785
LBN Legal business name Lifehouse Ine
DBA Doing business as Marin Assoc For Retarded Cizen
Authorized official Teague, Merlyn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2007
Last updated Nov 29th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528240785 NPPES
California MEDICAID CMCSUBJ49

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