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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