Organization
TRANSITIONAL LIVING AND COMMUNITY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERRY EULICEXY (CAROL'S PLACE ADVISOR)
(916) 448-7391
Entity
Organization
Contact information
Practice address
2230 9TH ST, SACRAMENTO, CA 95818-1310
(916) 448-7391
Mailing address
2230 9TH ST, SACRAMENTO, CA 95818-1310
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
07/13/2010
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