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NPI Code Detail

MEDICARE: EL HOGAR COMMUNITY SERVICES, INC.

MEDICARE: EL HOGAR COMMUNITY 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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1760560296
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL HOGAR COMMUNITY SERVICES, INC.
Provider Business Mailing Address
First Line : 3780 ROSIN COURT
Second Line : SUITE 110
City : SACRAMENTO
State : CA
Zip : 95834-1644
Country : US
Telephone Number : 916-441-0226
Fax Number : 916-441-0286
Provider Business Practice Location Address
First Line : 630 BERCUT DRIVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-0110
Country : US
Telephone Number : 916-441-3819
Fax Number : 916-441-6377
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MRS. GENELLE CAZARES
Credential : LCSW
Telephone Number : 916-441-0226
Provider Enumeration Date : 11/01/2006
Last Update Date : 06/03/2022

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Directions to “EL HOGAR COMMUNITY SERVICES, INC. ” Practice Location

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