Organization
DUMOLIN SERVICE CORP.
Active
Other names
DuMolin Community Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE KEELEY (CEO)
(707) 838-2300
Entity
Organization
Contact information
Practice address
7852 BELL ROAD, WINDSOR, CA 95492
(707) 838-2300
(707) 838-2305
Mailing address
7852 BELL ROAD, WINDSOR, CA 95492
(707) 838-2300
(707) 838-2305
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60319G
—
CA
05
—
LTC60437G
—
CA
05
—
LTC60457F
—
CA
05
—
LTC60461F
—
CA
05
—
LTC60468F
—
CA
05
—
LTC60567F
—
CA
05
—
LTC60785F
—
CA
05
—
LTC80175F
—
CA
05
—
LTC80194F
—
CA
Enumeration date
07/09/2006
Last updated
11/12/2020
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