Organization
ALLY INDEPENDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY EAST (CHIEF CARE ADMINISTOR)
(916) 717-8148
Entity
Organization
Contact information
Practice address
9717 ELK GROVE FLORIN RD STE F, ELK GROVE, CA 95624-2262
(800) 630-6156
Mailing address
9717 ELK GROVE FLORIN RD STE F, ELK GROVE, CA 95624-2262
(800) 630-6156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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