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Dorothy Faye Alexander

Intermediate Care Facility, Intellectual Disabilities in Oroville, CA. Organization (NPI-2).

NPI number1497897482
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1497897482
Entity type
Organization (NPI-2)
Legal business name
Dorothy Faye Alexander
Organization subpart
No
Enumeration date
Feb 13, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities230000257CAYes

Other names

  • Granny'S House (Doing Business As)

Practice location

1169 Plumas Ave
Oroville, CA 95965-3232

Phone 530-589-0536 · Fax 530-589-1602

Mailing address

350 Plumas Dr
Oroville, CA 95966-9241

Phone 530-589-0536 · Fax 530-589-1602

Authorized official

Dorothy Faye Alexander
Owner Licensee
5305890536

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