Healthcare Provider Details

I. General information

NPI: 1982473724
Provider Name (Legal Business Name): MEND-MEET EACH NEED WITH DIGNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 12/21/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10641 SAN FERNANDO RD
PACOIMA CA
91331
US

IV. Provider business mailing address

10641 SAN FERNANDO RD
PACOIMA CA
91331
US

V. Phone/Fax

Practice location:
  • Phone: 818-686-7300
  • Fax:
Mailing address:
  • Phone: 818-686-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JANET MARINACCIO
Title or Position: PRESIDENT & CEO
Credential:
Phone: 818-686-7321