Healthcare Provider Details

I. General information

NPI: 1598485849
Provider Name (Legal Business Name): COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 PRADO RD
SAN LUIS OBISPO CA
93401-7313
US

IV. Provider business mailing address

1030 SOUTHWOOD DR
SAN LUIS OBISPO CA
93401-5813
US

V. Phone/Fax

Practice location:
  • Phone: 805-544-4005
  • Fax: 805-549-8388
Mailing address:
  • Phone: 805-544-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH BIZ STEINBERG
Title or Position: CEO
Credential:
Phone: 805-544-4355