NPI | 1023564333 |
---|---|
Doing Business As | SPECIAL CARE SERVICES |
Former Legal Business Name | SPECIAL CARE SUPPORTED LIVING SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | DEBORAH LEES DAVIS CEO/Director 707-580-7849 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 106S00000X Behavior Technician |
163WP0200X Registered Nurse, Pediatrics | |
251B00000X Case Management | |
251C00000X Day Training, Developmentally Disabled Services | |
252Y00000X Early Intervention Provider Agency | |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2016-08-27 |
Last Update Date | 2024-05-31 |