Mirabel Lodge

LBN: Mirabel Lodge
Mirabel Lodge is an health care organization with primary practice located at 6950 Mirabel Rd , Forestville CA 95436-9534. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Mirabel Lodge can be contacted via phone (415) 264-5486, or through Varshavsky, Alexander via phone (415) 264-5486.

Contact Information

Primary practice address
6950 Mirabel Rd Forestville CA 95436-9534
Phone: (415) 264-5486
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Varshavsky, Alexander
Phone: (415) 264-5486

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1366168296
LBN Legal business name Mirabel Lodge
DBA Doing business as
Authorized official Varshavsky, Alexander
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2022
Last updated Oct 12th, 2022 - about 4 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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