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Organization
MEK ARDEN, LLC
Active
Organization
MEK ARDEN, LLC
Active
Other names
Arden Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNAN PEDRAJA (FINANCIAL CONTROLLER)
(818) 247-6200
Entity
Organization
Contact information
Practice address
3400 ALTA ARDEN EXPY, SACRAMENTO, CA 95825-2103
(916) 481-5500
(916) 481-9845
Mailing address
1506 S. GLENDALE AVENUE, GLENDALE, CA 91205
(818) 247-6200
(818) 247-6213
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000009
CA
314000000X
Skilled Nursing Facility
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0704663
CLIA ID NUMBER
CA
01
—
4279830001
DME POS NUMBER
CA
05
—
ZZR05855J
—
CA
Enumeration date
06/22/2005
Last updated
04/26/2016
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