Organization
YMCA OF SUPERIOR CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY L SMITH-FAGAN (EXECUTIVE DIRECTOR OF DEVELOPMENT)
(916) 231-0362
Entity
Organization
Contact information
Practice address
2021 W ST, SACRAMENTO, CA 95818-1625
(916) 452-9622
Mailing address
1926 V ST, SACRAMENTO, CA 95818-1624
(916) 529-9886
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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