Healthcare Provider Details

I. General information

NPI: 1023236049
Provider Name (Legal Business Name): HEALTH FOR ALL, INC.,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 06/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 FLORIN RD
SACRAMENTO CA
95822-4560
US

IV. Provider business mailing address

420 I STREET SUITE 7
SACRAMENTO CA
95814-2319
US

V. Phone/Fax

Practice location:
  • Phone: 916-391-5591
  • Fax: 916-391-0264
Mailing address:
  • Phone: 916-441-2811
  • Fax: 916-441-2876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number070000532
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHUCK WIESEN
Title or Position: CEO
Credential:
Phone: 916-441-2811