Organization
TRI-CITY CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKWASI BOAFO PEPRAH (PRESIDENT)
(614) 218-2933
Entity
Organization
Contact information
Practice address
3238 BELDEN TER, APT 322, FREMONT, CA 94536-1940
(510) 931-0922
Mailing address
3238 BELDEN TER, APT 322, FREMONT, CA 94536-1940
(510) 931-0922
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
201323110187
CA
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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