Healthy Connections, Inc. | |
1235 W Vine St Suite 20 Lodi CA 95240-5144 | |
(209) 339-7410 | |
(209) 339-8778 |
Full Name | Healthy Connections, Inc. |
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Speciality | Community/behavioral Health |
Location | 1235 W Vine St, Lodi, California |
Authorized Official Name and Position | Ernest Joseph Vasti (MEDICAL DIRECTOR) |
Authorized Official Contact | 2094630870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healthy Connections, Inc. 1947 N California St Ste C Stockton CA 95204-6029 Ph: (209) 463-0870 | Healthy Connections, Inc. 1235 W Vine St Suite 20 Lodi CA 95240-5144 Ph: (209) 339-7410 |
NPI Number | 1376815282 |
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Provider Enumeration Date | 02/08/2012 |
Last Update Date | 11/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376815282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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