| NPI | 1558494740 |
|---|---|
| Other Name | SVCFS - 50173, 50174 |
| Entity Type | Organization |
| Authorized Contact | STACEY BRONKEN Quality Assurance COO Rdinator 209-523-4610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-08-03 |