| Koinonia Foster Homes Inc | |
|
3054 Fite Cir Ste. 101 Sacramento CA 95827-1809 | |
| (916) 369-5585 | |
| (916) 369-2019 |
| Full Name | Koinonia Foster Homes Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3054 Fite Cir, Sacramento, California |
| Authorized Official Name and Position | Deena Spann (ACCOUNTING DIRECTOR) |
| Authorized Official Contact | 9166525802 |
| 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: (951) 587-4165 | Koinonia Foster Homes Inc 3054 Fite Cir Ste. 101 Sacramento CA 95827-1809 Ph: (916) 369-5585 |
| NPI Number | 1568907509 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568907509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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