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Organization
OLE HEALTH
Active
Organization
OLE HEALTH
Active
Other names
CommuniCare OLE
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MACISAAC (CFO)
(760) 767-6435
Entity
Organization
Contact information
Practice address
600 A ST, DAVIS, CA 95616-3649
(530) 753-3498
(530) 758-2109
Mailing address
PO BOX 1260, DAVIS, CA 95617-1260
(530) 758-1510
(530) 758-2109
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
INTERN
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00905
YOLO COUNTY ALCOHOL, DRUG AND MENTAL HEALTH
CA
Enumeration date
03/10/2011
Last updated
10/17/2023
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