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Organization
CHARLEX CORP USA
Active
Organization
CHARLEX CORP USA
Active
Other names
Sunshine ICF DD H 5
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZAMFIRA VUNDERMAN REGISTERED NURSE (ADMINISTRATOR)
(925) 736-7913
Entity
Organization
Contact information
Practice address
16829 DARYL AVE, SAN LORENZO, CA 94580
(925) 736-7913
(925) 736-7914
Mailing address
4110 SUGAR MAPLE DR, DANVILLE, CA 94506
(925) 736-7913
(925) 736-7914
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
05G435
CA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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