Potential Way
Potential Way is a Meals Provider in Clearlake Oaks, California. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
12901 E Highway 20Clearlake Oaks, CA 95423-9326
Phone: (916) 613-0098
Fax: (707) 703-5792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Lodging Provider (primary) | Taxonomy 177F00000X |
|---|---|
| Meals Provider | Taxonomy 174200000X |
| Case Management Agency | Taxonomy 251B00000X |
| Home Health Agency | Taxonomy 251E00000X |
Record details
| NPI number | 1588434849 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacqueline Kelly — Ceo · (916) 613-0098 |
| NPI enumerated | January 8, 2024 |
| Last updated in NPPES | January 8, 2024 |
| Certification date | January 6, 2024 |
| Mailing address | Po Box 516, Clearlake Oaks, CA 95423-0516 |