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Contact Information

AG MURRIETA SNF, LLC
24100 MONROE AVENUE
MURRIETA, CA92562
 Phone: 951-600-4640
 Fax: 951-600-4738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for AG MURRIETA SNF, LLC

NPI # 1174517650
LBN Legal business name AG MURRIETA SNF, LLC
Authorized official JACOB WINTNER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2005
Last updated 07/18/2014 - About 12 years ago
Identifiers
CA License # 250000748
CA Medicaid LTC55747G
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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