Provider Demographics
NPI:1417788225
Name:SARA DOYLE
Entity type:Organization
Organization Name:SARA DOYLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NIGHT MONITOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:595-799-4721
Mailing Address - Street 1:3046 W WHITENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-6078
Mailing Address - Country:US
Mailing Address - Phone:559-799-4721
Mailing Address - Fax:
Practice Address - Street 1:1627 S GARDEN ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4949
Practice Address - Country:US
Practice Address - Phone:559-387-9910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator