Healthcare Provider Details

I. General information

NPI: 1720769474
Provider Name (Legal Business Name): STAY FOCUSED MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 CALIFORNIA AVE
BAKERSFIELD CA
93304-1403
US

IV. Provider business mailing address

1225 CALIFORNIA AVE
BAKERSFIELD CA
93304-1403
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-4673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MANUEL CARRIZALEZ
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 661-322-4673