National Provider Identifier Database

CORRECTIONS AND REHABILITATION HEADQUARTERS
Prison Health


Contact Information

CORRECTIONS AND REHABILITATION-HEADQUARTERS
8280 LONG LEAF DRIVE
D2-406
ELK GROVE, CA95758
Phone: 916-691-5749
Fax:
Website:
Specialty Taxonomy Code
* Prison Health 261QP2400X

* Indicates primary specialty

NPI Profile & details for CORRECTIONS AND REHABILITATION-HEADQUARTERS

NPI Number 1396169405
Legal business name
LBN
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Authorized official PIERRE JAMES - (STAFF SERVICES MANAGER I)
Entity Organization
Organization subpart Yes
Enumeration date 02/10/2014
Last updated 12/04/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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