THE KIBBUTZ - NATURE SERENITY RENEWAL


Address: 13136 Elizabeth Lake Rd, Leona Valley, CA 93551
Phone: 6614016648

THE KIBBUTZ - NATURE SERENITY RENEWAL (NPI# 1770052748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770052748
Entity Type Organization
Organization Name THE KIBBUTZ - NATURE SERENITY RENEWAL
Practice Address 13136 Elizabeth Lake Rd
Leona Valley
CA 93551
Mailing Address 13136 Elizabeth Lake Rd
Leona Valley
CA 93551-7001
Practice Telephone 6614016648
Mailing Telephone 6614016648
Enumeration Date 2018-11-19
Last Update Date 2018-11-19
Authorized Official Name HANNAH BROOKMAN (DIRECTOR)
Authorized Official Telephone 6614016648
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Ambulatory Health Care Facilities

Office Location

Street Address 13136 ELIZABETH LAKE RD
City LEONA VALLEY
State CA
Zip Code 93551

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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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Competitor

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City LEONA VALLEY
Zip Code 93551

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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