Organization
CIMINOCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J CIMINO SR. (CEO)
(916) 704-6275
Entity
Organization
Contact information
Practice address
7920 ALTA SUNRISE DR STE 250, CITRUS HEIGHTS, CA 95610-7963
(916) 486-9639
(916) 750-5701
Mailing address
7920 ALTA SUNRISE DR STE 250, CITRUS HEIGHTS, CA 95610-7963
(916) 486-9639
(916) 750-5701
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CASE MANAGER/CARE COORDINATOR
CA
Enumeration date
05/07/2024
Last updated
05/07/2024
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