Wheelock Residential

LBN: Front St. Inc.
Wheelock Residential is an health care organization with primary practice located at 102 Wheelock Rd , Watsonville CA 95076-9719. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Front St. Inc. can be contacted via phone (831) 420-0120, or through Butler, Ann M. via phone (831) 420-0120.

Contact Information

Primary practice address
102 Wheelock Rd Watsonville CA 95076-9719
Phone: (831) 420-0120
Fax: (831) 420-0123
Website:
Map and Directions
Authorized official contact:
Name: Butler, Ann M.
Phone: (831) 420-0120

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1376770776
LBN Legal business name Front St. Inc.
DBA Doing business as Wheelock Residential
Authorized official Butler, Ann M.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 12th, 2009
Last updated Aug 17th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376770776 NPPES
California Other 44CZ MEDI-CAL PRV NBR

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