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Organization

HSRC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOYCE A HAYES RDMS (EXECUTIVE OFFICER)
(707) 443-9747
Entity
Organization

Contact information

Practice address
1901 CALIFORNIA ST, EUREKA, CA 95501-2809
(707) 443-9747
(707) 443-3498
Mailing address
1910 CALIFORNIA ST, EUREKA, CA 95501-2870
(707) 443-9747
(707) 443-3498

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164644746
CA
05
1649607664
CA
05
MSS00009F
CA
Enumeration date
12/17/2013
Last updated
12/17/2013
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