QUINCY EUGENE MCCULLOUGH

VICTORVILLE, CA
NPI1184223943
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: CA  361800175)
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
Mr. QUINCY EUGENE MCCULLOUGH
15693 CHOCTAW ST
VICTORVILLE, CA 92395-5531
Phone number: 442-229-2100
Mailing Address
Mr. QUINCY EUGENE MCCULLOUGH
15693 CHOCTAW ST
VICTORVILLE, CA 92395-5531
Phone number: 442-229-2100