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NPI Code Detail

MEDICARE: EL HOGAR COMMUNITY SERVICES, INC.

MEDICARE: EL HOGAR COMMUNITY SERVICES, 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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1548347925
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL HOGAR COMMUNITY SERVICES, INC.
Provider Business Mailing Address
First Line : 600 BERCUT DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-0131
Country : US
Telephone Number : 916-440-1500
Fax Number : 916-440-1500
Provider Business Practice Location Address
First Line : 600 BERCUT DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-0131
Country : US
Telephone Number : 916-440-1500
Fax Number : 916-440-1500
Authorized Official
Title or Position : CEO
Name : GENELLE ESKOW
Credential : LCSW
Telephone Number : 916-441-0226
Provider Enumeration Date : 11/01/2006
Last Update Date : 02/02/2018

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Directions to “EL HOGAR COMMUNITY SERVICES, INC. ” Practice Location

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