NPI 1114615473

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Organisation Supports Brokerage Agency Healdsburg, CA

Practice location

Address: 443 Hudson St, Healdsburg, CA 95448-4461
Phone: (707) 433-6161

Authorised official

Name: Angela Schacht Escudero
Title: Director of Development
Phone: (707) 433-6161

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in California →

Registry record

NPI: 1114615473
Entity type: Organization
NPI issued: 25 Apr 2023
Record last updated: 25 Apr 2023

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.