Organization
A.K. BEAN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENEE MARIE TYSOL SUDRC (PROGRAM MANAGER)
(707) 664-7798
Entity
Organization
Contact information
Practice address
2100 SACRAMENTO ST, VALLEJO, CA 94590-3126
(707) 642-4789
(707) 642-8882
Mailing address
2100 SACRAMENTO ST, VALLEJO, CA 94590-3126
(707) 642-8947
(707) 429-1908
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
04/27/2023
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