Provider Demographics
NPI:1356523724
Name:YUBA COUNTY PUBLIC GUARDIAN
Entity type:Organization
Organization Name:YUBA COUNTY PUBLIC GUARDIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSERVATORSHIP OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-749-5695
Mailing Address - Street 1:1114 YUBA ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-4838
Mailing Address - Country:US
Mailing Address - Phone:530-749-6306
Mailing Address - Fax:530-740-4928
Practice Address - Street 1:1114 YUBA ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-4838
Practice Address - Country:US
Practice Address - Phone:530-749-6306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management