Organization
CHILDREN'S RECOVERY CENTER 2, LLC
Active
Organization
CHILDREN'S RECOVERY CENTER 2, LLC
Active
Other names
Saratoga Pediatric Subacute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH SHAWN MCGUIRE (PRESIDENT/CEO)
(408) 340-1568
Entity
Organization
Contact information
Practice address
13425 SOUSA LANE, SARATOGA, CA 95070
(408) 340-1568
(408) 866-8144
Mailing address
13425 SOUSA LANE, SARATOGA, CA 95070
(408) 340-1568
(408) 866-8144
Taxonomy
Speciality
Code
Description
License number
State
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
Primary
220000426
CA
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
—
—
Other
Enumeration date
12/19/2006
Last updated
03/09/2017
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