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Organization
INDEPENDENCE & COMFORT LIVING
Active
Organization
INDEPENDENCE & COMFORT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMZA MOHAMED JAMA (TREASURER)
(415) 766-1544
Entity
Organization
Contact information
Practice address
2360 RUSSELL ST, TRACY, CA 95376-8702
(415) 766-1544
Mailing address
2360 RUSSELL ST, TRACY, CA 95376-8702
(415) 766-1544
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3743320
CA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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