Organization
A.K. BEAN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY ANNE LOPEZ (BILLING MANAGER)
(707) 664-7798
Entity
Organization
Contact information
Practice address
623 GREAT JONES ST, FAIRFIELD, CA 94533-6005
(707) 429-8888
(707) 429-1908
Mailing address
623 GREAT JONES ST, FAIRFIELD, CA 94533-6005
(707) 429-8888
(707) 429-1908
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
09/21/2022
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