# MARANATHA WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568471779
- **Authorized official:** NICKOLAS LLOYD LIND (PRESIDENT)
- **Authorized official phone:** (760) 922-0002

## Contact information

- **Practice address:** 415 E BARNARD STREET, BLYTHE, CA 92225
- **Practice address phone:** (760) 922-7790
- **Practice address fax:** (760) 922-2259
- **Mailing address:** PO BOX 1551, BLYTHE, CA 92226
- **Mailing address phone:** (760) 922-7790
- **Mailing address fax:** (760) 922-2259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | CA | — |
| 311Z00000X | Custodial Care Facility | — | CA | — |
| 385H00000X | Respite Care | — | CA | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 09/11/2025