Sierra Hope

Organization Active NPI Case Management Agency · Angels Camp, CA

NPI 1922101377 · NPPES record last updated Jan 11, 2012

Key facts

NPI
1922101377
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
SIERRA HOPE
Practice address
1168 Booster Way
Angels Camp, CA 95222-0159
Phone
(209) 736-6792
Fax
(209) 736-6861
NPI assigned
Sep 7, 2006
Organization subpart
No

Authorized official

Name
Mr. Jerry W Cadotte
Title
Executive Director
Phone
(209) 736-6792

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

1168 Booster Way
Angels Camp, CA 95222-0159

Mailing address

PO Box 159
Angels Camp, CA 95222-0159
Phone (209) 736-6792

Other identifiers

IdentifierTypeStateIssuer
AYD000460MedicaidCA

Other providers in Angels Camp, CA

All providers in Angels Camp, CA · Case Management Agency in California

Sources for this page

Verify at the official NPI Registry.