Provider Demographics
NPI:1760996730
Name:SPECIALIZED PROJECT MANAGEMENT INC.
Entity Type:Organization
Organization Name:SPECIALIZED PROJECT MANAGEMENT INC.
Other - Org Name:PTL PEDIATRIC NURSING REGISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-891-0657
Mailing Address - Street 1:PO BOX 3726
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-3726
Mailing Address - Country:US
Mailing Address - Phone:530-891-0657
Mailing Address - Fax:
Practice Address - Street 1:1890 BEDFORD DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7352
Practice Address - Country:US
Practice Address - Phone:530-891-0657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPECIALIZED PROJECT MANAGEMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric