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Organization
NEW WAY SERVICES INC
Active
Organization
NEW WAY SERVICES INC
Active
Other names
Null Drive ICF DDH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUPE M HENRY (DIRECTOR/PROVIDER)
(925) 370-9603
Entity
Organization
Contact information
Practice address
4109 NULL DRIVE, ANTIOCH, CA 94509
(925) 757-0887
(925) 688-1525
Mailing address
1170 BURNETT AVE STE K, CONCORD, CA 94520-5613
(925) 370-9603
(925) 688-1525
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55G435
MEDI-CAL
—
Enumeration date
01/24/2007
Last updated
12/04/2023
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