# IMPACT MEDICAL STAFFING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154712156
- **Authorized official:** MELANIE AQUINO DUNNIWAY OT (PRESIDENT)
- **Authorized official phone:** (209) 603-0716

## Contact information

- **Practice address:** 193 HARP DR, RIPON, CA 95366-9334
- **Practice address phone:** (209) 603-0716
- **Practice address fax:** (209) 599-7478
- **Mailing address:** 193 HARP DR, RIPON, CA 95366-9334
- **Mailing address phone:** (209) 603-0716
- **Mailing address fax:** (209) 599-7478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 9409 | CA | Yes |

## Other

- **Enumeration date:** 02/12/2015
- **Last updated:** 02/12/2015