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Organization

MARANATHA WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICKOLAS LLOYD LIND (PRESIDENT)
(760) 922-0002
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
CA
311Z00000X
Custodial Care Facility
CA
385H00000X
Respite Care
Primary
CA

Other

Enumeration date
08/05/2006
Last updated
09/11/2025
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