Organization
CAREMERIDIAN, LLC
Active
Parent organization
NATIONAL MENTOR HEALTHCARE, LLC
Other names
National Mentor Healthcare, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR HEALTHCARE, LLC
Authorized official
MRS. CRYSTAL DAWN IMMERMAN (MANAGER OF ADMINISTRATION)
(949) 263-6632
Entity
Organization
Contact information
Practice address
20621 MAYALL ST, CHATSWORTH, CA 91311-3110
(818) 886-7928
Mailing address
18-A JOURNEY, SUITE 200, ALISA VIEJO, CA 92656-5342
(949) 263-6632
(949) 261-0457
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550000665
CA
Other
Enumeration date
02/27/2008
Last updated
10/21/2010
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