Mha Village
Nursing Care in Long Beach, CA. Organization (NPI-2).
NPI number1366970154
StatusActive
Last updated in NPPESMay 24, 2017
Details
- NPI
- 1366970154
- Entity type
- Organization (NPI-2)
- Legal business name
- Mha Village
- Organization subpart
- No
- Enumeration date
- May 24, 2017
- Last updated
- May 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
Practice location
456 Elm AveLong Beach, CA 90802-2426
Phone 562-437-6717 · Fax 562-437-5072
Mailing address
2024 Fullerton AveCosta Mesa, CA 92627-2105
Phone 661-537-4772
Authorized official
Michael Renee Limon
Student Nurse
6615374772
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