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Organization
FOOTHILLS EXTENDED CARE INC
Active
Organization
FOOTHILLS EXTENDED CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETAN AJUDIA MD (OWNER)
(201) 772-4430
Entity
Organization
Contact information
Practice address
1040 MARSHALL WAY, PLACERVILLE, CA 95667-5706
(201) 772-4430
Mailing address
4793 GRESHAM DR, EL DORADO HILLS, CA 95762-7700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
06/11/2021
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