Organization
MENDEZ FAMILY INN, LLC
Active
Other names
SIMI VALLEY RESIDENTIAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA L MENDEZ (MANAGER)
(805) 217-5284
Entity
Organization
Contact information
Practice address
1391 MELLOW LN, SIMI VALLEY, CA 93065-5708
(805) 217-5284
(805) 579-8683
Mailing address
1391 MELLOW LN, SIMI VALLEY, CA 93065-5708
(805) 217-5284
(805) 579-8683
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN01136F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01136F
—
CA
Enumeration date
05/22/2007
Last updated
08/22/2020
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