# MOUNT MEGIDDO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Banning Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891280012
- **Authorized official:** ELENITA PEREZ (ADMINISTRATOR)
- **Authorized official phone:** (951) 849-4723

## Contact information

- **Practice address:** 3476 W WILSON ST, BANNING, CA 92220-3420
- **Practice address phone:** (951) 849-4723
- **Practice address fax:** (951) 755-8857
- **Mailing address:** 2368 TORRANCE BLVD, TORRANCE, CA 90501-2500
- **Mailing address phone:** (310) 561-0231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 250000153 | CA | Yes |

## Other

- **Enumeration date:** 06/29/2018
- **Last updated:** 06/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 250000153 | STATE LICENSE | CA |