| Berk Street Enterprises, Inc | |
|
2377 Gold Meadow Way Ste 100 Gold River CA 95670 | |
| (916) 370-6179 | |
| Not Available |
| Full Name | Berk Street Enterprises, Inc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 2377 Gold Meadow Way Ste 100, Gold River, California |
| Authorized Official Name and Position | Janet Lia Phillips (OWNER/OPERATOR) |
| Authorized Official Contact | 9162013551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berk Street Enterprises, Inc 2377 Gold Meadow Way Ste 100 Gold River CA 95670-4444 Ph: (916) 201-3551 | Berk Street Enterprises, Inc 2377 Gold Meadow Way Ste 100 Gold River CA 95670 Ph: (916) 370-6179 |
| NPI Number | 1194269159 |
|---|---|
| Provider Enumeration Date | 12/11/2016 |
| Last Update Date | 12/23/2023 |
| Certification Date | 12/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194269159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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