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Organization
EEC BALTAZAR CORPORATION
Active
Organization
EEC BALTAZAR CORPORATION
Active
Other names
St. Patrick's Golden Care Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO PASCUA BALTAZAR JR. R.N. (PRESIDENT)
(916) 988-0157
Entity
Organization
Contact information
Practice address
7104 SANTA JUANITA AVE, ORANGEVALE, CA 95662-2832
(916) 988-0157
(916) 988-0884
Mailing address
7104 SANTA JUANITA AVE, ORANGEVALE, CA 95662-2832
(916) 988-0157
(916) 988-0884
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RCF00035F
MEDICAL
CA
Enumeration date
11/27/2007
Last updated
11/27/2007
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