Organization
IMPAQ REHAB SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR CRUZ ARADA OTR/L (PRESIDENT)
(415) 548-0000
Entity
Organization
Contact information
Practice address
178 DENSLOWE DR, SAN FRANCISCO, CA 94132-2035
(415) 548-0000
Mailing address
127 NICOLE WAY, VALLEJO, CA 94589-3251
(510) 396-0978
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6940
CA
Other
Enumeration date
03/15/2010
Last updated
04/16/2010
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