Elm Ranch 1 LLC
NPI #1609015783 in Orangevale, California
Provider Information
- NPI Number
- 1609015783
- Entity Type
- Organization
- Organization Name
- Elm Ranch 1 LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 12, 2009
- Last Updated
- Feb 12, 2009
Practice Location
- Address
- 9048 ELM AVE
- City
- Orangevale
- State
- California
- ZIP Code
- 95662-3524
- Phone
- (916) 987-2954
Authorized Official
- Name
- MR. EDUARDO P BALTAZAR, RN
- Title
- PRESIDENT
- Phone
- (916) 293-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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