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Organization
A.K. BEAN FOUNDATION
Active
Organization
A.K. BEAN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA ANN KELLY (PROGRAM DIRECTOR)
(707) 451-9703
Entity
Organization
Contact information
Practice address
600 NUT TREE RD STE 240, VACAVILLE, CA 95687-4686
(707) 451-9703
(707) 446-0471
Mailing address
600 NUT TREE RD STE 240, VACAVILLE, CA 95687-4686
(707) 451-9703
(707) 446-0471
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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