Organization
EL DORADO COUNTY, DEPARTMENT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ASHTON (INTERIM DIRECTOR)
(530) 642-5515
Entity
Organization
Contact information
Practice address
935A SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6278
Mailing address
3057 BRIW RD, PLACERVILLE, CA 95667-5330
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MSS00035F01
—
CA
Enumeration date
12/16/2013
Last updated
12/30/2013
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