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The information below reflects the content of the TMIS information system as of the close of the previous business day. |
| Carrier ID | CA 0188256 |
| Carrier Status | Active - 08/09/04 |
| Carrier Name | ADULT DAY HEALTH CARE OF MAD RIVER |
| Phone Number | (707) 822-4866 |
| Contact Address |
JULIE DAMRON PROGRAM DIRECTOR P O BOX 1115 ARCATA, CA 95518 |
| Physical Address |
3800 JAMES RD ARCATA, CA 95521 |
| INSURANCE POLICIES | ||
| Policy Type | Policy Number | Insurance Company Address |
| PL and PD Policy | PHPK206230 | PHILADELPHIA INDEMNITY INSR CO ONE BALA PLAZA SUITE 100 BALA CYNWYD, PA 19004 |