| NPI | 1144739764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE B. PHILLIPS President Of Medical Management 760-270-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QR0404X Clinic/Center Rehabilitation, Cardiac Facilities | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 385H00000X Respite Care | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-03-17 |