Organization
MARKS GROWING CENTER, INC.
Active
Other names
Mustard Seed
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BISE PRESIDENT (PRESIDENT)
(707) 448-8278
Entity
Organization
Contact information
Practice address
200 PEACH TREE AVE, VACAVILLE, CA 95688-4443
(707) 448-7558
Mailing address
317 PARKER ST, VACAVILLE, CA 95688-4513
(707) 448-7558
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60506F
PROVIDER NUMBER
CA
Enumeration date
05/25/2007
Last updated
08/22/2020
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