# UNITED CEREBRAL PALSY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ride-On transportation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609946854
- **Authorized official:** MR. MARK SHAFFER (DIRECTOR)
- **Authorized official phone:** (805) 541-8747

## Contact information

- **Practice address:** 3620 SACRAMENTO DR, SUITE 201, SAN LUIS OBISPO, CA 93401-7215
- **Practice address phone:** (805) 541-8747
- **Practice address fax:** (805) 543-2045
- **Mailing address:** 3620 SACRAMENTO DRIVE, SUITE 201, SAN LUIS OBISPO, CA 93401
- **Mailing address phone:** (805) 541-8747
- **Mailing address fax:** (805) 543-2045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347B00000X | Bus | — | CA | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MTN00696F | — | CA |