Organization
BALTIC SEA MANOR
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN ROSE PRICE LICENSED RCFE (ADMINISTRATOR)
(925) 783-0988
Entity
Organization
Contact information
Practice address
5227 OAKRIDGE DR, FAIRFIELD, CA 94534-6619
(925) 783-0988
(707) 864-1777
Mailing address
5227 OAKRIDGE DR, FAIRFIELD, CA 94534-6619
(925) 783-0988
(707) 864-1777
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
075601459
CA
320700000X
Physical Disabilities Residential Treatment Facility
Primary
075601569
CA
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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