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Organization
VISITING NURSE ASSOCIATION OF THE MOTHER LODE
Active
Organization
VISITING NURSE ASSOCIATION OF THE MOTHER LODE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN MONTGOMERY (FISCAL SUPERVISOR)
(209) 533-6839
Entity
Organization
Contact information
Practice address
20100 CEDAR RD N, SONORA, CA 95370-5957
(209) 533-6800
Mailing address
20100 CEDAR RD N, P.O. BOX 4805, SONORA, CA 95370-5957
(209) 533-6800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR11355H
—
CA
Enumeration date
07/11/2005
Last updated
08/22/2020
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