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EEC BALTAZAR CORPORATION

Alzheimer Center

Orangevale, California

Provider NPI: 1477735892

Organization Information:
Organization Name:  EEC BALTAZAR CORPORATION


Practice Location:
7104 SANTA JUANITA AVE  ORANGEVALE, CA 95662 US
Tel: 916-988-0157  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
CA

Other Provider Identifiers:

IssuerNumberStateType
MEDICALRCF00035FCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS CA - Page 1



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