Organization
ON MY OWN INDEPENDENT LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE RAMIREZ MA (EXECTUIVE DIRECTOR)
(916) 726-0792
Entity
Organization
Contact information
Practice address
6060 SUNRISE VISTA DR STE 2140, CITRUS HEIGHTS, CA 95610-7057
(916) 726-0792
Mailing address
6060 SUNRISE VISTA DR STE 2100, CITRUS HEIGHTS, CA 95610-7068
(916) 726-0792
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
0000014653
CA
253Z00000X
In Home Supportive Care Agency
Primary
0000014653
CA
Other
Enumeration date
06/13/2008
Last updated
06/28/2011
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