Tuolumne County Ccs - Soulsbyville Mtu
NPI #1457485617 in Soulsbyville, California
Provider Information
- NPI Number
- 1457485617
- Entity Type
- Organization
- Organization Name
- Tuolumne County Ccs - Soulsbyville Mtu
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 20300 SOULSBYVILLE RD
- City
- Soulsbyville
- State
- California
- ZIP Code
- 95372-9738
- Phone
- (209) 532-5198
Authorized Official
- Name
- KATHY AMOS
- Title
- DIRECTOR OF PUBLIC HEALTH NURSING
- Phone
- (209) 533-7403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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