Organization
PTL PEDIATRIC DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA D BURNS R.N. (OWNER)
(530) 343-8344
Entity
Organization
Contact information
Practice address
1890 BEDFORD DR, CHICO, CA 95928-7352
(530) 343-8344
(530) 343-6683
Mailing address
1890 BEDFORD DR, CHICO, CA 95928-7352
(530) 343-8344
(530) 343-6683
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
550000327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPSP00130
—
CA
Enumeration date
05/19/2008
Last updated
05/19/2008
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