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Organization
FOOTHILL HOUSE OF HOSPITALITY
Active
Organization
FOOTHILL HOUSE OF HOSPITALITY
Active
Other names
Hospitality House
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SIERRA BAGLIETTO MSW (EXECUTIVE DIRECTOR)
(530) 615-0807
Entity
Organization
Contact information
Practice address
131 GLENWOOD AVE, GRASS VALLEY, CA 95945-7891
(530) 271-7144
(530) 205-9203
Mailing address
1262 SUTTON WAY, GRASS VALLEY, CA 95945-5175
(530) 271-7144
(530) 205-9203
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
03/29/2022
Last updated
03/13/2023
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