| Share Homes | |
|
210 N School St Lodi CA 95240-2122 | |
| (209) 334-6376 | |
| Not Available |
| Full Name | Share Homes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 N School St, Lodi, California |
| Authorized Official Name and Position | Malcolm Berean (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2093270588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Share Homes 210 N School St Lodi CA 95240-2122 Ph: (209) 334-6376 | Share Homes 210 N School St Lodi CA 95240-2122 Ph: (209) 334-6376 |
| NPI Number | 1497184238 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497184238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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