Organization
I.M.A.G.E TRANSITIONAL HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HORTON (PRESIDENT)
(916) 541-1370
Entity
Organization
Contact information
Practice address
8575 ELK GROVE FLORIN RD, APT. 330, ELK GROVE, CA 95624-9532
(916) 833-9558
Mailing address
545 PINEDALE AVE, SACRAMENTO, CA 95838-1517
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MFC42444
CA
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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