Organization
MEMORY DAYBYDAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BRUKETTA NP (PRESIDENT)
(510) 876-5880
Entity
Organization
Contact information
Practice address
111 JACKSON ST, HAYWARD, CA 94544-1948
(510) 876-5880
(510) 876-5885
Mailing address
111 JACKSON ST, HAYWARD, CA 94544-1948
(510) 876-5880
(510) 876-5885
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
408641
CA
252Y00000X
Early Intervention Provider Agency
Primary
408641
CA
Other
Enumeration date
06/19/2016
Last updated
09/16/2016
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