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Organization
MY TIME MOVEMENT
Active
Organization
MY TIME MOVEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ATENCEIA SEREETA MARIA (DIRECTOR OF COMMUNITY CARE)
(279) 222-5162
Entity
Organization
Contact information
Practice address
6522 CASTRO VERDE WAY, ELK GROVE, CA 95757-3495
(279) 222-5162
Mailing address
5650 WHITELOCK PKWY STE 130-1065, ELK GROVE, CA 95757-5922
(279) 222-5162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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