Provider Demographics
NPI:1699139352
Name:CARE ALOT
Entity type:Organization
Organization Name:CARE ALOT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDIDIA
Authorized Official - Middle Name:FLORICA
Authorized Official - Last Name:DEMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-753-6430
Mailing Address - Street 1:8440 EDGECLIFF CT
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-0842
Mailing Address - Country:US
Mailing Address - Phone:916-753-6430
Mailing Address - Fax:916-560-3801
Practice Address - Street 1:8440 EDGECLIFF CT
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-0842
Practice Address - Country:US
Practice Address - Phone:916-753-6430
Practice Address - Fax:916-560-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347002299311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility