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NPI Code Detail

MEDICARE: LA CHEIM SCHOOL, INC.

MEDICARE: LA CHEIM SCHOOL, INC.
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 : 1134251069
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA CHEIM SCHOOL, INC.
Provider Business Mailing Address
First Line : PO BOX 21330
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94820-1330
Country : US
Telephone Number : 510-222-0292
Fax Number : 510-222-6731
Provider Business Practice Location Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-222-0292
Fax Number : 510-222-6731
Authorized Official
Title or Position : CFO
Name : MR. DONOVAN GRANT
Credential :
Telephone Number : 510-222-0292
Provider Enumeration Date : 03/09/2007
Last Update Date : 04/17/2023

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Directions to “LA CHEIM SCHOOL, INC. ” Practice Location

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