Mule Creek Sate Prison
Mule Creek Sate Prison is an Exclusive Provider Organization in Elk Grove, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
9266 Dairy CtElk Grove, CA 95624-3583
Phone: (209) 274-4911
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence LCF35817 (CA) |
|---|
Record details
| NPI number | 1730583311 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Smiley — Ceo · (209) 274-4911 |
| NPI enumerated | October 10, 2014 |
| Last updated in NPPES | October 10, 2014 |
| Mailing address | 9266 Dairy Ct, Elk Grove, CA 95624-3583 |
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