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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
1320800000XMental Illness Community Based Residential Treatment FacilityDMH 02 080 009CA

General Provider Information

NPI Number : 1871679027
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELECARE CORPORATION
Provider Business Mailing Address
First Line : 1080 MARINA VILLAGE PKWY STE 100
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1078
Country : US
Telephone Number : 510-337-7950
Fax Number :
Provider Business Practice Location Address
First Line : 2633 E 27TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1912
Country : US
Telephone Number : 510-536-8111
Fax Number : 510-534-5202
Authorized Official
Title or Position : PROVIDER RELATIONS SUPERVISOR
Name : LORENA LOPEZ
Credential :
Telephone Number : 510-337-7950
Provider Enumeration Date : 10/31/2006
Last Update Date : 03/10/2023

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Directions to “TELECARE CORPORATION ” Practice Location

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