Provider Demographics
NPI:1497386569
Name:M&S GUESTHOMES, INC.
Entity Type:Organization
Organization Name:M&S GUESTHOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ULIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-227-7835
Mailing Address - Street 1:13882 HAILEIGH ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-2867
Mailing Address - Country:US
Mailing Address - Phone:714-227-7835
Mailing Address - Fax:
Practice Address - Street 1:2424 W GLENCREST AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-3224
Practice Address - Country:US
Practice Address - Phone:657-256-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness