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Organization
KECHI SUPPORTED LIVING, INC
Active
Organization
KECHI SUPPORTED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARIETTE METAGHEU (EXECUTIVE DIRECTOR)
(925) 476-8872
Entity
Organization
Contact information
Practice address
51079 LONE TREE WAY, ANTIOCH, CA 94531-8689
(925) 476-8872
(925) 679-7067
Mailing address
1148 LAKE PARK DR, OAKLEY, CA 94561-3510
(510) 472-6259
(925) 679-7067
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
11/08/2013
Last updated
11/27/2013
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