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Organization
NORTHBAY HEALTHCARE GROUP
Active
Organization
NORTHBAY HEALTHCARE GROUP
Active
Parent organization
NORTHBAY HEALTHCARE GROUP
Other names
NorthBay Health at Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHBAY HEALTHCARE GROUP
Authorized official
MRS. AIMEE BREWER (AMBULATORY DIVISION PRESIDENT)
(707) 646-5700
Entity
Organization
Contact information
Practice address
4520 BUSINESS CENTER DRIVE, SUITE 160, FAIRFIELD, CA 94534-6888
(707) 646-3575
(707) 646-3576
Mailing address
4500 BUSINESS CENTER DR, FAIRFIELD, CA 94534-6888
(707) 646-3575
(707) 646-3576
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010000037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR07219F
—
CA
Enumeration date
08/22/2005
Last updated
11/09/2015
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