Organization
STANISLAUS PHF
Active
Other names
Telecare Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RACHEL LENAURA WILLIAMS LVN (LVN)
(209) 568-2266
Entity
Organization
Contact information
Practice address
436 N MERCEY SPRINGS RD SPC 13, LOS BANOS, CA 93635-3031
(209) 568-2266
Mailing address
436 N MERCEY SPRINGS RD SPC 13, LOS BANOS, CA 93635-3031
(209) 568-2266
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
VN220172
CA
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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