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Organization
KAVERE SERVICES INC
Active
Organization
KAVERE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A HERRERA M.S.ED. (PRESIDENT/CEO)
(209) 992-3318
Entity
Organization
Contact information
Practice address
531 N MILLS AVE, LODI, CA 95242-2220
(209) 992-3318
Mailing address
531 N MILLS AVE, LODI, CA 95242-2220
(209) 992-3318
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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