Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2019-10-09
- Last updated
- 2026-06-01
Licenses
The registry row did not include a license.
Location
- Practice location
- 1229 BROADWAY
- City
- RICHVALE CA
- Postal code
- 95974
- Phone
- 530-882-4125
Organization contact
- Name
- MELODY KING
- Title
- Executive Director
- Phone
- 5302833330
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.