Pcm Group INC DBA Mirabel Lodge
NPI #1336412113 in Forestville, California
Provider Information
- NPI Number
- 1336412113
- Entity Type
- Organization
- Organization Name
- Pcm Group INC DBA Mirabel Lodge
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Feb 9, 2012
- Last Updated
- Feb 9, 2012
Practice Location
- Address
- 6950 MIRABEL RD
- City
- Forestville
- State
- California
- ZIP Code
- 95436-9534
- Phone
- (707) 887-1754
Authorized Official
- Name
- MR. ALAIN A SERKISSIAN
- Title
- OWNER/ ADMINISTRATOR/ LICENCEE
- Phone
- (707) 887-1754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
| Alzheimer Center (Dementia Center) |
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