Healthcare Provider Details

I. General information

NPI: 1639881659
Provider Name (Legal Business Name): A TRUE BLESSING SENIOR SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 ROBINHOOD DR B-10 STOCKTON, CA. 95207
STOCKTON CA
95207
US

IV. Provider business mailing address

878 TALAVERA CIR
LODI CA
95242-3633
US

V. Phone/Fax

Practice location:
  • Phone: 209-938-3301
  • Fax: 209-938-3317
Mailing address:
  • Phone: 916-865-6233
  • 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 Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER SILVA
Title or Position: CEO
Credential:
Phone: 916-865-6233