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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7104 SANTA JUANITA AVE ORANGEVALE, CA 95662 US
Tel: 916-988-0157 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | CA |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICAL | RCF00035F | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin