Organization
TELECARE CORPORATION
Active
Other names
Telecare Sanger Place
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
2511 JENSEN PLACE, SANGER, CA 93657-2578
(559) 875-3023
(559) 875-3453
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-6427
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20 15 031
DEPARTMENT OF MENTAL HEALTH (DMH)
CA
Enumeration date
09/01/2010
Last updated
03/08/2023
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