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Organization

THE EDGE COMMUNITY CHURCH OF SUISUN

Active
Parent organization
THE EDGE COMMUNITY CHURCH OF SUISUN
Other names
Solano Dream Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE EDGE COMMUNITY CHURCH OF SUISUN
Authorized official
GERMAINE LUCIANO BA (EXECUTIVE ADMIN)
(707) 438-8213
Entity
Organization

Contact information

Practice address
2166 SACRAMENTO ST, VALLEJO, CA 94590-3126
(707) 435-3995
Mailing address
PO BOX 2404, SUISUN CITY, CA 94585-5404
(707) 438-8213

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
251V00000X
Voluntary or Charitable Agency
Primary
251X00000X
Supports Brokerage Agency

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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