Special Request LLC
NPI #1740825611 in Castro Valley, California
Provider Information
- NPI Number
- 1740825611
- Entity Type
- Organization
- Organization Name
- Special Request LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Nov 14, 2019
- Last Updated
- Nov 14, 2019
Practice Location
- Address
- 18787 CARLTON AVE
- City
- Castro Valley
- State
- California
- ZIP Code
- 94546-2905
- Phone
- (510) 292-8610
Authorized Official
- Name
- MR. SAMUEL ALIN TET
- Title
- LLC MEMBER
- Phone
- (510) 292-8610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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