Organization
MARKELL & MARQUELL ENTERPRISES, LLC
Active
Other names
PATHWAY HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
JASON JOHNSON (OWNER)
(661) 972-6235
Entity
Organization
Contact information
Practice address
15923 SAN MARCO PL, BAKERSFIELD, CA 93314-6650
(661) 972-6235
Mailing address
PO BOX 901, TEHACHAPI, CA 93581-0901
(661) 972-6235
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
157206784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320800000X
STATE OF CALIFORNIA
CA
Enumeration date
12/05/2016
Last updated
03/09/2017
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