NPI 1154712156

Impact Medical Staffing, INC

Organisation Physical Disabilities Residential Treatment Facility Ripon, CA

Practice location

Address: 193 Harp Dr, Ripon, CA 95366-9334
Phone: (209) 603-0716
Fax: (209) 599-7478

Authorised official

Name: Melanie Aquino Dunniway
Title: President
Phone: (209) 603-0716

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 9409 (CA)

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1154712156
Entity type: Organization
NPI issued: 12 Feb 2015
Record last updated: 12 Feb 2015

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.