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NPI Code Detail

MEDICARE: SIERRA FOREVER FAMILIES

MEDICARE: SIERRA FOREVER FAMILIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1043541980
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIERRA FOREVER FAMILIES
Provider Business Mailing Address
First Line : 8928 VOLUNTEER LN STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-3238
Country : US
Telephone Number : 916-368-5114
Fax Number :
Provider Business Practice Location Address
First Line : 8421 AUBURN BLVD STE 3
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-0391
Country : US
Telephone Number : 916-722-6100
Fax Number :
Authorized Official
Title or Position : CFO
Name : JENNIFER JACOBSEN
Credential :
Telephone Number : 916-368-5114
Provider Enumeration Date : 01/15/2010
Last Update Date : 07/31/2019

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Directions to “SIERRA FOREVER FAMILIES ” Practice Location

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