Kimberly's Residential Care Home

NPI 1063599538 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1063599538
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIKE G MIKE
Position OWNER
Phone (916) 362-4473
Fax (916) 362-4473
Practice Location
10514 MILLS TOWER DR
RANCHO CORDOVA CA, 95670-5517, US
Phone (916) 362-4473
Fax (916) 362-4473
Business Location
2218 BUCKS CREEK CT
GOLD RIVER CA, 95670-8121, US
Phone (916) 631-7969
Fax (916) 638-8880
Toxanomy
Taxonomy Code 320800000X
License State
License Number
Remove 1063599538 NPI Number
 

According to our database, Kimberly's Residential Care Home NPI is 1063599538, taxonomy code is 320800000X Kimberly's Residential Care Home physically located at 10514 Mills Tower Dr, Rancho Cordova CA, 95670-5517. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063599538 NPI number is provided on an as is basis without warranty of any kind. 1063599538 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly's Residential Care Home are for informational purposes only.