Organization
QUALITY QUEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY VALLONE (ADMINISTRATOR)
(916) 416-3100
Entity
Organization
Contact information
Practice address
96 TRISTAN CIR, SACRAMENTO, CA 95823-4145
(916) 416-3100
Mailing address
PO BOX 232501, SACRAMENTO, CA 95823-0425
(916) 416-3100
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
LTC60808G
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302932
—
CA
Enumeration date
07/11/2007
Last updated
07/11/2007
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