Organization
HOUSING EL DORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE PAINE (PROGRAM COORDINATOR)
(530) 317-8877
Entity
Organization
Contact information
Practice address
1390 BROADWAY # B-216, PLACERVILLE, CA 95667-5900
(530) 317-8877
Mailing address
1390 BROADWAY # B-216, PLACERVILLE, CA 95667-5900
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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