Provider Demographics
NPI:1669661773
Name:RONALD MCDONALD HOUSE CHARITIES OF THE CENTRAL VALLEY, INC.
Entity type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES OF THE CENTRAL VALLEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MANFREDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-261-3661
Mailing Address - Street 1:9161 RANDALL WAY
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8773
Mailing Address - Country:US
Mailing Address - Phone:559-447-6770
Mailing Address - Fax:559-447-6778
Practice Address - Street 1:9161 RANDALL WAY
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-8773
Practice Address - Country:US
Practice Address - Phone:559-447-6770
Practice Address - Fax:559-447-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1103765251V00000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No251V00000XAgenciesVoluntary or Charitable