Osterman's #3 INC
NPI #1548452808 in Shasta Lake, California
Provider Information
- NPI Number
- 1548452808
- Entity Type
- Organization
- Organization Name
- Osterman's #3 INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 10, 2007
- Last Updated
- Aug 10, 2007
Practice Location
- Address
- 4741 PENSACOLA ST
- City
- Shasta Lake
- State
- California
- ZIP Code
- 96019-9773
- Phone
- (530) 275-2346
Authorized Official
- Name
- MRS. DORIS SUSAN OSTERMAN
- Title
- OWNER ADMINISTRATOR
- Phone
- (530) 275-2346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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