Mek Kennedy, Llc

NPI 1144226861 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1144226861
Enumeration Date 06/27/2005
Last Updated 04/11/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name FERNAN FERNAN
Position MEMBER
Phone (132) 365-1004
Fax (132) 365-1375
Practice Location
619 N FAIRFAX AVE
LOS ANGELES CA, 90036-1714, US
Phone (132) 365-1004
Fax (132) 365-1375
Business Location
1506 S GLENDALE AVE
GLENDALE CA, 91205-3316, US
Phone (181) 824-7620
Fax (181) 824-7712
Toxanomy
Taxonomy Code 314000000X
License State California
License Number 970000040
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According to our database, Mek Kennedy, Llc NPI is 1144226861, taxonomy code is 314000000X and license number is 970000040, license state is located at California. Mek Kennedy, Llc physically located at 619 N Fairfax Ave, Los Angeles CA, 90036-1714. NPI Number 1033115704 has the healthcare provider type.

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1144226861 NPI number is provided on an as is basis without warranty of any kind. 1144226861 is maintained by the National Plan & Provider Enumeration System. The contents of Mek Kennedy, Llc are for informational purposes only.