Organization
MISSION LODGE SANITARIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K. REYNOLDS (MANAGER)
(410) 513-8738
Entity
Organization
Contact information
Practice address
824 S GLADYS AVE, SAN GABRIEL, CA 91776-2710
(626) 287-0753
Mailing address
1423 CLARKVIEW RD, BALTIMORE, MD 21209-2134
(410) 427-2700
(414) 815-5558
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
06/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us