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NPI Code Detail

MEDICARE: OPERATION SAFEHOUSE

MEDICARE: OPERATION SAFEHOUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1093010191
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPERATION SAFEHOUSE
Provider Business Mailing Address
First Line : 9685 HAYES ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3660
Country : US
Telephone Number : 951-351-4418
Fax Number : 951-351-4265
Provider Business Practice Location Address
First Line : 72710 E LYNN ST
Second Line :
City : THOUSAND PALMS
State : CA
Zip : 92276-3312
Country : US
Telephone Number : 760-343-3211
Fax Number : 951-351-4265
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KATHY MCADARA
Credential :
Telephone Number : 951-351-4418
Provider Enumeration Date : 01/20/2011
Last Update Date : 01/20/2011

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Directions to “OPERATION SAFEHOUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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