Health & Social Services

NPI 1407913064 - Clinic/Center - 261QM0801X

NPI Details
NPI 1407913064
Enumeration Date 01/03/2007
Last Updated 07/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KAY KAY
Position SUPERVISOR
Phone (707) 784-2140
Fax (707) 784-2164
Practice Location
2101 COURAGE DR
FAIRFIELD CA, 94533-6717, US
Phone (707) 784-2140
Fax (707) 784-2164
Business Location
1390 MATTHEW DR
FAIRFIELD CA, 94533-4161, US
Phone (707) 436-2456
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Health & Social Services NPI is 1407913064, taxonomy code is 261QM0801X Health & Social Services physically located at 2101 Courage Dr, Fairfield CA, 94533-6717. NPI Number 1033115704 has the healthcare provider type.

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1407913064 NPI number is provided on an as is basis without warranty of any kind. 1407913064 is maintained by the National Plan & Provider Enumeration System. The contents of Health & Social Services are for informational purposes only.