Laura L Eastridge in Grass Valley - Residential Treatment Facility, Emotionally Disturbed Children

Laura L Eastridge - NPI 1609054527

Laura L Eastridge is a Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, California. Laura L Eastridge practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Laura L Eastridge is 1609054527. The last update date is 2008-02-01.

Laura L Eastridge's current location address is 714 W Main St, Grass Valley, California. You can contact this provider via phone number 5304779800 and fax number 5304779800. The mailing address for Laura L Eastridge is 714 W Main St, Grass Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura L Eastridge
Address 714 W Main St, Grass Valley, California
Phone Number 5304779800
Fax Number 5304779800
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1609054527
Provider Enumeration Date 2008-02-01
Last Updated Date 2008-02-01

Provider Mailing Address Detail

Address 714 W Main St
City Grass Valley
State California (CA)
Post Code 959456410
Phone Number 5304779800
Fax Number 5304779800

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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FAQs about Laura L Eastridge

What is the unique 10-digit identification code issued to Laura L Eastridge by the Centers for Medicare & Medicaid Services?

The Laura L Eastridge has been assigned the NPI (National Provider Identifier) 1609054527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Laura L Eastridge is located?

The Laura L Eastridge is situated at the following address: 714 W Main St, Grass Valley, CA, 959456410.

What is Laura L Eastridge's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Laura L Eastridge is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy classification code that categorizes this area of expertise is 322D00000X.

On what date was the 1609054527 assigned to Laura L Eastridge?

The Laura L Eastridge was issued its 1609054527 on 2008-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Laura L Eastridge most recently updated or revised?

The details related to Laura L Eastridge, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-01.

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