Provider Demographics
NPI:1083094817
Name:LATREIA HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:LATREIA HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT CARE SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:FROEBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINLAO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:916-753-9746
Mailing Address - Street 1:3090 FITE CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1810
Mailing Address - Country:US
Mailing Address - Phone:916-476-6519
Mailing Address - Fax:877-528-7342
Practice Address - Street 1:3090 FITE CIR STE 101
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-1810
Practice Address - Country:US
Practice Address - Phone:916-476-6519
Practice Address - Fax:877-528-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-06
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA319822251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based