Whalio Doctors

NPI 1033397385

Main Ranch

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Orangevale, CA

Practice location

Address
6526 Main Ave, Orangevale, CA 95662-4312
Phone
(916) 987-0822
Fax
(916) 988-5837
Mailing address
7104 Santa Juanita Ave, Orangevale, CA 95662-2832

Authorised official

Name
Eduardo P Baltazar
Title
Administrator
Phone
(916) 293-1500

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1033397385
Entity type
Organization
NPI issued
7 Feb 2008
Record last updated
7 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.