Squaw Program

LBN: Woodland Residential Services, Inc.
Squaw Program is an health care organization with primary practice located at 1571 Squaw Valley Dr , Woodland CA 95776-6740. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Woodland Residential Services, Inc. can be contacted via phone (530) 406-0333, or through Kajley, Parminder via phone (530) 406-0333.

Contact Information

Primary practice address
1571 Squaw Valley Dr Woodland CA 95776-6740
Phone: (530) 406-0333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kajley, Parminder
Phone: (530) 406-0333

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 100000520 California

Profile Details

NPI number 1942419817
LBN Legal business name Woodland Residential Services, Inc.
DBA Doing business as Squaw Program
Authorized official Kajley, Parminder
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Dec 19th, 2011 - about 13 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 1942419817 NPPES
California Other 100000520 DHS LICENSE NUMBER

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