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Chuckawala Vallwy State Prison
Prison Health Clinic/Center in Blythe, California
NPI 1356701494

Chuckawala Vallwy State Prison is a Prison Health Clinic/Center based in Blythe, CA and is specialized in Prison Health. Chuckawala Vallwy State Prison practices in Blythe, CA. The NPI Number for Chuckawala Vallwy State Prison is 1356701494 and holds a License No. 63848 (California).

The current practice location address for Chuckawala Vallwy State Prison is 19025 Wileys Well Rd, Blythe, CA and can be reached out via phone at 760-922-5300.

Location: 19025 Wileys Well Rd, Blythe, CA, 92225-2287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356701494
Provider Name
Chuckawala Vallwy State Prison
Credential
Provider Entity Type
Organization
Address
19025 Wileys Well Rd, Blythe, CA, 92225-2287
Phone Number
760-922-5300
Fax Number
Provider Enumeration Date
03/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19025 Wileys Well Rd
City
Blythe
State
California
Zip
92225-2287
Phone Number
760-922-5300
Fax Number
person
Provider Business Mailing Address Details
Address
19025 Wileys Well Rd
City
Blythe
State
California
Zip
92225-2287
Phone Number
760-922-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Prison Health
Taxonomy
261QP2400X
License No.
63848 (California)
Definition
Definition to come...
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