Organization
BID STONE, LLC
Active
Other names
Cal-Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TANCREDO SANO NHA (DIRECTOR/ADMINISTRATOR)
(714) 310-3078
Entity
Organization
Contact information
Practice address
1125 E 17TH ST, SUITE E222, SANTA ANA, CA 92701-2201
(714) 310-3078
Mailing address
1125 E 17TH ST, SUITE E222, SANTA ANA, CA 92701-2201
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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