Osterman's # 4 Inc

NPI 1245422500 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1245422500
Enumeration Date 08/10/2007
Last Updated 08/10/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DORIS SUSAN DORIS
Position OWNER ADMINISTRATOR
Phone (530) 275-2346
Fax (530) 275-6674
Practice Location
1681 STETSON WAY
REDDING CA, 96003-7110, US
Phone (530) 275-2346
Fax (530) 275-6674
Business Location
PO BOX 905
SHASTA LAKE CA, 96019-0905, US
Phone (530) 275-2346
Fax (530) 275-6674
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Osterman's # 4 Inc NPI is 1245422500, taxonomy code is 320900000X Osterman's # 4 Inc physically located at 1681 Stetson Way, Redding CA, 96003-7110. NPI Number 1033115704 has the healthcare provider type.

1245422500 NPI number is provided on an as is basis without warranty of any kind. 1245422500 is maintained by the National Plan & Provider Enumeration System. The contents of Osterman's # 4 Inc are for informational purposes only.