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Organization
PIUS JOHN MBATIA
Active
Organization
PIUS JOHN MBATIA
Active
Other names
Diverse Senior Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE M KIMANI (C.E.O)
(707) 971-1263
Entity
Organization
Contact information
Practice address
620 E WASHINGTON ST STE 207, PETALUMA, CA 94952-5912
(707) 971-7125
Mailing address
620 E WASHINGTON ST STE 207, PETALUMA, CA 94952-5912
(707) 971-7125
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
06/21/2017
Last updated
04/02/2019
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