Koinonia Foster Homes, Inc. | |
12344 Incline Dr Auburn CA 95603-3512 | |
(916) 652-0171 | |
Not Available |
Full Name | Koinonia Foster Homes, Inc. |
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Speciality | Community/behavioral Health |
Location | 12344 Incline Dr, Auburn, California |
Authorized Official Name and Position | Bill Ryland (DIRECTOR) |
Authorized Official Contact | 9166520171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Koinonia Foster Homes, Inc. Po Box 1403 Loomis CA 95650-1403 Ph: (916) 652-0171 | Koinonia Foster Homes, Inc. 12344 Incline Dr Auburn CA 95603-3512 Ph: (916) 652-0171 |
NPI Number | 1568920874 |
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Provider Enumeration Date | 03/05/2019 |
Last Update Date | 03/05/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568920874 | NPI | - | NPPES |
317005938 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
253J00000X | Foster Care Agency | (* (Not Available)) | Secondary |
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