NPI | 1508077504 |
---|---|
Other Name | SVCFS - 501529 |
Entity Type | Organization |
Authorized Contact | STACEY BRONKEN Quality Assurance COO Rdinator 209-523-4610 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2007-05-24 |
Last Update Date | 2010-08-03 |