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Nicolette Daniele Lake
Assisted Living Facility in Oakley, California
NPI 1447734025

Nicolette Daniele Lake is an Assisted Living Facility based in Oakley, CA. Nicolette Daniele Lake practices in Oakley, CA. The NPI Number for Nicolette Daniele Lake is 1447734025 and holds a License No. 079200771 (California).

The current practice location address for Nicolette Daniele Lake is 531 Ohara Ave, Oakley, CA and can be reached out via phone at 925-219-6165.

Location: 531 Ohara Ave, Oakley, CA, 94561-5741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447734025
Provider Name
Nicolette Daniele Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
531 Ohara Ave, Oakley, CA, 94561-5741
Phone Number
925-219-6165
Fax Number
Provider Enumeration Date
09/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
531 Ohara Ave
City
Oakley
State
California
Zip
94561-5741
Phone Number
925-219-6165
Fax Number
person
Provider Business Mailing Address Details
Address
531 Ohara Ave
City
Oakley
State
California
Zip
94561-5741
Phone Number
925-219-6165
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
079200771 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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