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Organization
WHISPERING PINES INN LLC
Active
Organization
WHISPERING PINES INN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ARCHIBALD PARK CERTIFIED RCFE ADMIN (ADMINISTRATOR/OWNER)
(831) 636-9620
Entity
Organization
Contact information
Practice address
476 LOS VIBORAS RD, HOLLISTER, CA 95023-9465
(831) 636-9620
(831) 636-2903
Mailing address
476 LOS VIBORAS RD, HOLLISTER, CA 95023-9465
(831) 636-9620
(831) 636-2903
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
385H00000X
CA
Other
Enumeration date
03/11/2008
Last updated
03/13/2008
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