Healthcare Provider Details

I. General information

NPI: 1831755545
Provider Name (Legal Business Name): DOORSTEP PRIMARY CARE L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2019
Last Update Date: 05/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 MONTVILLE CT
VACAVILLE CA
95688-9231
US

IV. Provider business mailing address

225 MONTVILLE CT
VACAVILLE CA
95688-9231
US

V. Phone/Fax

Practice location:
  • Phone: 707-803-9157
  • Fax:
Mailing address:
  • Phone: 707-803-9157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. HANNAH CROWL
Title or Position: PRESIDENT
Credential: DNP, FNP, CDE
Phone: 707-803-9157