Organization
EEC BALTAZAR CORPORATION
Active
Other names
St. Patrick's Golden Care Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO PASCUA BALTAZAR JR. R.N. (PRESIDENT)
(916) 988-0157
Entity
Organization
Contact information
Practice address
7104 SANTA JUANITA AVE, ORANGEVALE, CA 95662-2832
(916) 988-0157
(916) 988-0884
Mailing address
7104 SANTA JUANITA AVE, ORANGEVALE, CA 95662-2832
(916) 988-0157
(916) 988-0884
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RCF00035F
MEDICAL
CA
Enumeration date
11/27/2007
Last updated
11/27/2007
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