1588434849 POTENTIAL WAY
Lodging Provider
Active
Basic Information
- Organization Name
- POTENTIAL WAY
- Enumeration Date
- January 8, 2024
- Last Update
- January 8, 2024
- Authorized Official
- MS. JACQUELINE MARIE KELLY RN
CEO
Phone: (916) 613-0098
Practice Location
- Address
- 12901 E HIGHWAY 20
CLEARLAKE OAKS, CA 954239326 - Phone
- (916) 613-0098
- Fax
- (707) 703-5792
Mailing Address
- Address
- PO BOX 516
CLEARLAKE OAKS, CA 954230516 - Phone
- (916) 613-0098
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Home Health Agency | 251E00000X | Home Health | N/A | N/A | No |
| Meals Provider | 174200000X | Meals | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Lodging Provider | 177F00000X | Lodging | N/A | N/A | Primary |
Frequently Asked Questions
What is POTENTIAL WAY's NPI number?
POTENTIAL WAY's NPI number is 1588434849.
Which doctor has NPI number 1588434849?
The doctor with NPI number 1588434849 is POTENTIAL WAY.
What is POTENTIAL WAY's practice address?
POTENTIAL WAY's practice address is 12901 E HIGHWAY 20, CLEARLAKE OAKS, CA, 954239326.
Which doctor practices at 12901 E HIGHWAY 20, CLEARLAKE OAKS, CA, 954239326?
POTENTIAL WAY practices at 12901 E HIGHWAY 20, CLEARLAKE OAKS, CA, 954239326.
What is POTENTIAL WAY's mailing address?
POTENTIAL WAY's mailing address is PO BOX 516, CLEARLAKE OAKS, CA, 954230516.
What is POTENTIAL WAY's phone number?
POTENTIAL WAY's phone number is (916) 613-0098.
Who is (916) 613-0098?
(916) 613-0098 is the phone number for POTENTIAL WAY.
What is POTENTIAL WAY's specialty?
POTENTIAL WAY's specialty is Lodging Provider.
What type of doctor is POTENTIAL WAY?
POTENTIAL WAY is a Lodging Provider.
Is POTENTIAL WAY a Lodging?
Yes, POTENTIAL WAY is a Lodging.
Is POTENTIAL WAY still practicing?
Yes, POTENTIAL WAY is currently practicing.
Is POTENTIAL WAY accepting new patients?
POTENTIAL WAY may be accepting new patients. Please call their office at (916) 613-0098 to inquire about availability.
Is NPI 1588434849 still active?
Yes, NPI 1588434849 is currently active.
Where does POTENTIAL WAY practice?
POTENTIAL WAY practices in CLEARLAKE OAKS, CA.