Potential Way

NPI #1588434849 in Clearlake Oaks, California

Provider Information

NPI Number
1588434849
Entity Type
Organization
Organization Name
Potential Way
Primary Specialty
Lodging
Enumeration Date
Jan 8, 2024
Last Updated
Jan 8, 2024

Practice Location

Address
12901 E HIGHWAY 20
ZIP Code
95423-9326
Phone
(916) 613-0098

Authorized Official

Name
MS. JACQUELINE MARIE KELLY, RN
Title
CEO
Phone
(916) 613-0098

Specialties & Taxonomy Codes

Specialty
Home Health
Meals
Case Management
Lodging

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