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NPI Code Detail

MEDICARE: TELECARE CORPORATION

MEDICARE: TELECARE CORPORATION
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
1323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1497099915
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELECARE CORPORATION
Provider Business Mailing Address
First Line : 1080 MARINA VILLAGE PKWY
Second Line : SUITE 100
City : ALAMEDA
State : CA
Zip : 94501-6427
Country : US
Telephone Number : 510-337-7950
Fax Number : 510-337-7969
Provider Business Practice Location Address
First Line : 5634 JEREMY WAY
Second Line :
City : STOCKTON
State : CA
Zip : 95212-2867
Country : US
Telephone Number : 209-888-4969
Fax Number : 209-888-5816
Authorized Official
Title or Position : PROVIDER RELATIONS SUPERVISOR
Name : LORENA LOPEZ
Credential :
Telephone Number : 510-337-7950
Provider Enumeration Date : 11/21/2012
Last Update Date : 03/06/2023

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Directions to “TELECARE CORPORATION ” Practice Location

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