Provider Demographics
NPI:1235453424
Name:P.E.E.C.E. KEEPERS, INC.
Entity Type:Organization
Organization Name:P.E.E.C.E. KEEPERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALGRIE
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFTI
Authorized Official - Phone:916-541-5737
Mailing Address - Street 1:PO BOX 279612
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-9612
Mailing Address - Country:US
Mailing Address - Phone:916-541-5737
Mailing Address - Fax:916-550-1422
Practice Address - Street 1:3425 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-3648
Practice Address - Country:US
Practice Address - Phone:916-541-5737
Practice Address - Fax:916-550-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization