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Organization
MARNA E. CARLI
Active
Organization
MARNA E. CARLI
Active
Other names
Alpine Home III
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M CARLI (ADMINISTRATOR)
(530) 872-2296
Entity
Organization
Contact information
Practice address
5577 CARLI CT, PARADISE, CA 95969
(530) 872-2296
(530) 872-2297
Mailing address
5577 CARLI CT, PARADISE, CA 95969
(530) 872-2296
(530) 872-2297
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
230000299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC80250F
MEDI-CAL
CA
Enumeration date
08/09/2006
Last updated
06/19/2008
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