Provider Demographics
NPI:1659952794
Name:ARVALO INC.
Entity Type:Organization
Organization Name:ARVALO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:DINO
Authorized Official - Last Name:AREVALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-386-3731
Mailing Address - Street 1:1836 MULHOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:LATHROP
Mailing Address - State:CA
Mailing Address - Zip Code:95330-8260
Mailing Address - Country:US
Mailing Address - Phone:510-386-3731
Mailing Address - Fax:
Practice Address - Street 1:237 SHADOWRUN CT
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-2173
Practice Address - Country:US
Practice Address - Phone:530-247-1862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility