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NPI Code Detail

MEDICARE: WORLD COMPASSION PROJECT

MEDICARE: WORLD COMPASSION PROJECT
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
1385HR2055XChild Mental Illness Respite Care
2253Z00000XIn Home Supportive Care Agency
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1063165991
Entity Type Code : Organization
Provider Name (Legal Business Name) : WORLD COMPASSION PROJECT
Provider Business Mailing Address
First Line : 1401 21ST ST STE R
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-5226
Country : US
Telephone Number : 916-461-3390
Fax Number :
Provider Business Practice Location Address
First Line : 8700 AUBURN FOLSOM RD STE 300
Second Line :
City : GRANITE BAY
State : CA
Zip : 95746-8501
Country : US
Telephone Number : 916-461-3390
Fax Number :
Authorized Official
Title or Position : SENIOR CARE COORDINATOR
Name : CANDICE EVELYN LENTZ
Credential :
Telephone Number : 916-461-3390
Provider Enumeration Date : 01/31/2022
Last Update Date : 01/31/2022

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Directions to “WORLD COMPASSION PROJECT ” Practice Location

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