Empire Hotel Alcoholic Rehabilition Inc. in Shasta Lake City - Rehabilitation, Substance Use Disorder
Empire Hotel Alcoholic Rehabilition Inc. - NPI 1619178514
Empire Hotel Alcoholic Rehabilition Inc. is a Rehabilitation, Substance Use Disorder in Shasta Lake City, California. Empire Hotel Alcoholic Rehabilition Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Empire Hotel Alcoholic Rehabilition Inc. is 1619178514. The last update date is 2020-08-22.
Empire Hotel Alcoholic Rehabilition Inc.'s current location address is 5014 Shasta Dam Blvd., Shasta Lake City, California. You can contact this provider via phone number 5302751076 and fax number 5302753717. The mailing address for Empire Hotel Alcoholic Rehabilition Inc. is 5014 Shasta Dam Blvd., Shasta Lake City, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Empire Hotel Alcoholic Rehabilition Inc. |
---|---|
Address | 5014 Shasta Dam Blvd., Shasta Lake City, California |
Phone Number | 5302751076 |
Fax Number | 5302753717 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Nealy A Patricia |
Credentials | CASII CAD |
Telephone Number | 5302437470 |
NPI Number Detail
NPI Number | 1619178514 |
---|---|
Provider Enumeration Date | 2007-05-29 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 5014 Shasta Dam Blvd. |
---|---|
City | Shasta Lake City |
State | California (CA) |
Post Code | 960190777 |
Phone Number | 5302751076 |
Fax Number | 5302753717 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
---|---|
Taxonomy | 261Qr0405X |
Licence No | 450001AN |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Post Comment/ Review Below
What is the unique identifier code issued to Empire Hotel Alcoholic Rehabilition Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Empire Hotel Alcoholic Rehabilition Inc. has been assigned the NPI (National Provider Identifier) 1619178514. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Empire Hotel Alcoholic Rehabilition Inc.?
The Empire Hotel Alcoholic Rehabilition Inc. is physically situated at 5014 Shasta Dam Blvd., in the city of Shasta Lake City, state of CA, with the postal code 960190777.
What is Empire Hotel Alcoholic Rehabilition Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Empire Hotel Alcoholic Rehabilition Inc. is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy classification code for this specialized field is 261Qr0405X.
On what date did the Empire Hotel Alcoholic Rehabilition Inc. receive the assignment of its 1619178514 from the Centers for Medicare & Medicaid Services?
The Empire Hotel Alcoholic Rehabilition Inc. was issued its 1619178514 by the Centers for Medicare & Medicaid Services on 2007-05-29.
When was the Empire Hotel Alcoholic Rehabilition Inc.'s information last updated?
The Empire Hotel Alcoholic Rehabilition Inc.'s information was last updated on 2020-08-22.