Odd-fellow Rebekah Children's Home Of Ca | |
7121 Grenache Way Gilroy CA 95020-2500 | |
(408) 846-2100 | |
Not Available |
Full Name | Odd-fellow Rebekah Children's Home Of Ca |
---|---|
Speciality | Community/behavioral Health |
Location | 7121 Grenache Way, Gilroy, California |
Authorized Official Name and Position | Jennifer Dang Malone (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 4085910043 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Odd-fellow Rebekah Children's Home Of Ca 290 Ioof Ave Gilroy CA 95020-5204 Ph: (408) 846-2141 | Odd-fellow Rebekah Children's Home Of Ca 7121 Grenache Way Gilroy CA 95020-2500 Ph: (408) 846-2100 |
NPI Number | 1477286441 |
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Provider Enumeration Date | 07/06/2022 |
Last Update Date | 07/06/2022 |
Certification Date | 06/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477286441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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