| Mother Cynthia's Residential Care Facility | |
|
1680 Shaffer Rd Atwater CA 95301-4448 | |
| (209) 357-0613 | |
| Not Available |
| Full Name | Mother Cynthia's Residential Care Facility |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1680 Shaffer Rd, Atwater, California |
| Authorized Official Name and Position | Patricia Ann Bunts (LISCENSEE/ADMINISTRATOR) |
| Authorized Official Contact | 2093570613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mother Cynthia's Residential Care Facility P.o. Box 1554 Atwater CA 95301 Ph: () - | Mother Cynthia's Residential Care Facility 1680 Shaffer Rd Atwater CA 95301-4448 Ph: (209) 357-0613 |
| NPI Number | 1699943654 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699943654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 247204044 (California) | Primary |
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