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Organization
OUR COMMUNITY, OUR SENIORS
Active
Organization
OUR COMMUNITY, OUR SENIORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE MONAE CUMMINS (CHW COORDINATOR, FOUNDER)
(707) 701-1557
Entity
Organization
Contact information
Practice address
14624B LAKESHORE DR, CLEARLAKE, CA 95422-8490
(707) 701-1557
Mailing address
14624B LAKESHORE DR, CLEARLAKE, CA 95422-8490
(707) 701-1557
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/14/2025
Last updated
02/13/2026
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