NPI 1225171283
Mission Provider Services, INC.
Practice location
- Address
- 1476 Oak Mesa Ln, Redding, CA 96003-9600
- Phone
- (530) 722-0540
- Mailing address
- 2970 Innsbruck Dr STE C, Redding, CA 96003-9303
Authorised official
- Name
- Dana Emerson
- Title
- Executive Director
- Phone
- (530) 222-5633
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1225171283
- Entity type
- Organization
- NPI issued
- 15 Feb 2007
- Record last updated
- 22 Aug 2020
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.