Whalio Doctors

NPI 1609015783

Elm Ranch 1 LLC

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

Practice location

Address
9048 Elm Ave, Orangevale, CA 95662-3524
Phone
(916) 987-2954
Fax
(916) 987-1593
Mailing address
7104 Santa Juanita Ave, Orangevale, CA 95662-2832

Authorised official

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

Registered specialties

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

Registry record

NPI
1609015783
Entity type
Organization
NPI issued
12 Feb 2009
Record last updated
12 Feb 2009

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.