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Organization
ON MY OWN INDEPENDENT LIVING SERVICES
Active
Organization
ON MY OWN INDEPENDENT LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE RAMIREZ MA (EXECTUIVE DIRECTOR)
(916) 726-0792
Entity
Organization
Contact information
Practice address
6060 SUNRISE VISTA DR STE 2140, CITRUS HEIGHTS, CA 95610-7057
(916) 726-0792
Mailing address
6060 SUNRISE VISTA DR STE 2100, CITRUS HEIGHTS, CA 95610-7068
(916) 726-0792
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
0000014653
CA
253Z00000X
In Home Supportive Care Agency
Primary
0000014653
CA
Other
Enumeration date
06/13/2008
Last updated
06/28/2011
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