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Organization

COMMUNITY HEALTH AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ISABEL X MICHAELIS (ADMINISTRATIVE ANALYST II)
(951) 358-5054
Entity
Organization

Contact information

Practice address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-5054
Mailing address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-5054

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
33-0407
CA

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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