Organization
MONES JOHN MOHSENI
Active
Other names
Meekland ICF DDH
Organization subpart
No
Provider details
NPI number
Authorized official
MONES JOHN MOHSENI (PROVIDER)
(510) 909-4476
Entity
Organization
Contact information
Practice address
20774 MEEKLAND AVENUE, HAYWARD, CA 94541
(510) 909-4476
(510) 538-7892
Mailing address
20774 MEEKLAND AVENUE, HAYWARD, CA 94541
(510) 909-4476
(510) 538-7892
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55G190
MEEKLAND ICF-DDH
CA
Enumeration date
02/13/2007
Last updated
08/22/2020
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