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Objects / Healthcare Organization

Healthcare Organization Stored source record

MILES CENTER ROAD HOUSE

1649 CENTER RD, NOVATO, CA, 949473941

atlas:atm_npi_1013115732

Block 2002Block Group 2Census Tract 1032Marin CountyCaliforniaUnited States

What is stored

phone
415-897-3138
status
A
address
1649 CENTER RD, NOVATO, CA, 949473941
npi
1013115732
license
55G139
taxonomy
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
other names
[]
last updated
2020-08-22
license state
CA
taxonomy code
320900000X
all taxonomies
["Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities"]
enumeration date
2007-07-03
enumeration type
NPI-2
practice locations
0
authorized official
NANCY LLOYD
organizational subpart
NO

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{
  "npi": "1013115732",
  "phone": "415-897-3138",
  "status": "A",
  "address": "1649 CENTER RD, NOVATO, CA, 949473941",
  "license": "55G139",
  "taxonomy": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
  "other_names": [],
  "last_updated": "2020-08-22",
  "license_state": "CA",
  "taxonomy_code": "320900000X",
  "all_taxonomies": [
    "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities"
  ],
  "enumeration_date": "2007-07-03",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "NANCY LLOYD",
  "organizational_subpart": "NO"
}