Organization
PRELUDE TO INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COREY RINGGOLD (PRESIDENT & CEO)
(877) 480-9373
Entity
Organization
Contact information
Practice address
5800 JAMESON CT, SUITE #7, CARMICHAEL, CA 95608-0880
(877) 480-9373
Mailing address
PO BOX 1383, CARMICHAEL, CA 95609-1383
(877) 480-9373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
330201
CA
253Z00000X
In Home Supportive Care Agency
Primary
330201
CA
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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