# ALERT SHACK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801567177
- **Authorized official:** MRS. MAIRA LOPEZ (MANAGER)
- **Authorized official phone:** (650) 996-4052

## Contact information

- **Practice address:** 1024 IRON POINT RD, FOLSOM, CA 95630-8013
- **Practice address phone:** (650) 996-4052
- **Mailing address:** 10817 SEGOVIA WAY, RANCHO CORDOVA, CA 95670-4007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2021
- **Last updated:** 09/25/2021