PROVIDENCE

LANCASTER, CA
NPI1124246244
Entity TypeOrganization
Authorized ContactJESSICA NAKITA JONES-MONTGOMERY
Case Manager
661-822-8223
Organization Subpart ?No
Primary Taxonomy251B00000X Case Management
Enumeration Date2007-04-23
Last Update Date2020-08-22
Business Address
PROVIDENCE
43545 KIRKLAND AVE APT.36
LANCASTER, CA 93535-4668
Phone number: 661-948-7830
Mailing Address
PROVIDENCE
43545 KIRKLAND AVE APT.36
LANCASTER, CA 93535-4668
Phone number: 661-948-7830
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