# TRI-COUNTY RESPITE CARE SERVICE, INC.

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

## Provider details

- **NPI number:** 1215633573
- **Authorized official:** LAURA JOYCE MACMILLAN (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (530) 755-3500

## Contact information

- **Practice address:** 1577 STARR DR, SUITE A, YUBA CITY, CA 95993-9599
- **Practice address phone:** (530) 755-3500
- **Mailing address:** PO BOX 1296, YUBA CITY, CA 95992-1296
- **Mailing address phone:** (530) 755-3500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2023
- **Last updated:** 02/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 358-9516-8 | STATE ID NUMBER | CA |
