Provider Demographics
NPI:1871257253
Name:SHARED HOUSING AND RESOURCE EXCHANGE CALIFORNIA
Entity Type:Organization
Organization Name:SHARED HOUSING AND RESOURCE EXCHANGE CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-766-8800
Mailing Address - Street 1:411 RUSSELL AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-2219
Mailing Address - Country:US
Mailing Address - Phone:707-766-8800
Mailing Address - Fax:707-766-8899
Practice Address - Street 1:411 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-2219
Practice Address - Country:US
Practice Address - Phone:707-766-8800
Practice Address - Fax:707-766-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty