POTENTIAL WAY is a lodging in Clearlake Oaks, CA. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. POTENTIAL WAY NPI is 1588434849. The provider is registered as an organization entity type.
The provider's business location address is:
12901 E HIGHWAY 20
CLEARLAKE OAKS, CA
ZIP 95423-326
Phone: (916) 613-0098
Fax: (707) 703-5792
The provider's authorized official is Jacqueline Marie Kelly .
The authorized official title is Ceo and has the following contact phone number (916) 613-0098.
The enumeration date for this NPI number is 1/8/2024 and was last updated on 1/8/2024.