Healthcare Provider Details
I. General information
NPI: 1487650735
Provider Name (Legal Business Name): ESKATON PROPERTIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5105 MANZANITA AVE
CARMICHAEL CA
95608-0523
US
IV. Provider business mailing address
5105 MANZANITA AVE
CARMICHAEL CA
95608-0523
US
V. Phone/Fax
- Phone: 916-334-0296
- Fax: 916-338-1248
- Phone: 916-334-0810
- Fax: 916-338-1248
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
TREVOR
A
HAMMOND
Title or Position: SENIOR VICE PRESIDENT
Credential: RETIRED AF GENERAL
Phone: 916-334-0810