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
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Other
Enumeration date
12/19/2006
Last updated
03/09/2017
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