Provider Demographics
NPI:1639601933
Name:RESTPADD HEALTH CORP
Entity Type:Organization
Organization Name:RESTPADD HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS
Authorized Official - Prefix:MR
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-870-9676
Mailing Address - Street 1:925 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-3707
Mailing Address - Country:US
Mailing Address - Phone:916-870-9676
Mailing Address - Fax:888-870-9642
Practice Address - Street 1:925 WALNUT ST
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-3707
Practice Address - Country:US
Practice Address - Phone:916-870-9676
Practice Address - Fax:888-870-9642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3621827283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital