| Foothills Extended Care Inc | |
|
1040 Marshall Way Placerville CA 95667-5706 | |
| (201) 772-4430 | |
| Not Available |
| Full Name | Foothills Extended Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1040 Marshall Way, Placerville, California |
| Authorized Official Name and Position | Ketan Ajudia (OWNER) |
| Authorized Official Contact | 2017724430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Extended Care Inc 4793 Gresham Dr El Dorado Hills CA 95762-7700 | Foothills Extended Care Inc 1040 Marshall Way Placerville CA 95667-5706 Ph: (201) 772-4430 |
| NPI Number | 1295381796 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295381796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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