Organization
ESKATON
Active
Organization
ESKATON
Active
Other names
Live Well at Home by Eskaton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ROBERT BOLLUM (EXECUTIVE DIRECTOR)
(916) 459-3220
Entity
Organization
Contact information
Practice address
1640 ESKATON LOOP, ROSEVILLE, CA 95747-5185
(916) 459-3220
(916) 331-2986
Mailing address
1640 ESKATON LOOP, ROSEVILLE, CA 95747-5185
(916) 459-3220
(916) 331-2986
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314700008
HCSB
CA
Enumeration date
05/02/2019
Last updated
05/02/2019
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