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Organization

CREATING A PATHWAY TO EVERYDAY LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORREE ELLEN LEWIS CRANDELL (EXECUTIVE DIRECTOR / CEO)
(510) 691-1633
Entity
Organization

Contact information

Practice address
3700 COUNTRY CLUB DR, LUCERNE, CA 95458-8640
(510) 691-1633
Mailing address
PO BOX 986, NICE, CA 95464-0986
(510) 691-1633

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251T00000X
PACE Provider Organization
Primary
251V00000X
Voluntary or Charitable Agency

Other

Enumeration date
03/11/2025
Last updated
04/09/2026
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