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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