Organization
TELECARE CORPORATION
Active
Other names
Villa Fairmont Mental Health Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
15200 FOOTHILL BLVD, SAN LEANDRO, CA 94578
(510) 352-9690
(510) 352-9008
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-6427
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
DMH 02 099 104
CA
Other
Enumeration date
10/19/2006
Last updated
03/01/2023
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