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Organization

MOBILE SENIOR ACTIVITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHUTITA L DEASON (FOUNDER/CEO)
(586) 690-1237
Entity
Organization

Contact information

Practice address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(951) 443-9092
Mailing address
42211 STONEWOOD RD APT 97, TEMECULA, CA 92591-3864

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
02/24/2025
Last updated
02/24/2025
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Product
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