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Organization
SPECIAL CARE SERVICES, LLC
Active
Organization
SPECIAL CARE SERVICES, LLC
Active
Other names
Special Care Supported Living Services, LLC, Special Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LEES DAVIS MSN, RN, DSD (CEO/DIRECTOR)
(707) 580-7849
Entity
Organization
Contact information
Practice address
333 SUNSET AVE STE 270, SUISUN CITY, CA 94585-2068
(707) 803-5007
(707) 402-6702
Mailing address
PO BOX 485, SUISUN CITY, CA 94585-0485
(707) 580-7849
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
163WP0200X
Pediatric Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
08/27/2016
Last updated
12/16/2024
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