Organization
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Provider details
NPI number
Authorized official
MRS. AMELIA SANCHEZ TORRES (ADMINISTRATOR)
(510) 245-2948
Entity
Organization
Contact information
Practice address
295 SPARROW DR, HERCULES, CA 94547-1507
(510) 245-2948
(510) 245-2948
Mailing address
295 SPARROW DR, HERCULES, CA 94547-1507
(510) 245-2948
(510) 245-2948
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
075601206
CA
Other
Enumeration date
02/22/2007
Last updated
07/10/2008
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