MEDICARE: SPECIALIZED DAYCARE SERVICES, INC.

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
1	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316117039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED DAYCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	8632 GREENBACK LANE, SUITE A
Second Line	:
City	:	ORANGEVALE
State	:	CA
Zip	:	95662-3913
Country	:	US
Telephone Number	:	916-987-8632
Fax Number	:	916-989-8635

Provider Business Practice Location Address
First Line	:	8632 GREENBACK LANE, SUITE A
Second Line	:
City	:	ORANGEVALE
State	:	CA
Zip	:	95662-3913
Country	:	US
Telephone Number	:	916-987-8632
Fax Number	:	916-989-8635

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NANCY ANNE GIACHINO
Credential	:	RN
Telephone Number	:	916-987-8632

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	09/04/2015

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Directions to “SPECIALIZED DAYCARE SERVICES, INC. ” Practice Location

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