| NPI | 1326259821 |
|---|---|
| Other Name | SVCFS-HOME BASED SERVICES |
| Entity Type | Organization |
| Authorized Contact | STACEY BRONKEN Quality Assurance COO Rdinator 209-523-4610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-07-21 |