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Organization
ADVOCATES FOR INDEPENDENT LIVING
Active
Organization
ADVOCATES FOR INDEPENDENT LIVING
Active
Other names
Adults In Community Transition
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE FRANE (BUSINESS ADMINISTRATOR)
(707) 279-8822
Entity
Organization
Contact information
Practice address
4795 GADDY LN, KELSEYVILLE, CA 95451-7407
(707) 279-8822
(707) 279-8322
Mailing address
2520 HARTLEY ST, LAKEPORT, CA 95453-6932
(707) 263-5230
(707) 263-3927
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC6982619
MEDI CAL
CA
Enumeration date
11/12/2006
Last updated
08/22/2020
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