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1679338578
COMMUNITY WELL CALIFORNIA
LANCASTER, CA
NPI
1679338578
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Entity Type
Organization
Authorized Contact
JENNIFER R PORTER
Executive Director
909-419-9278
Organization Subpart ?
No
Primary Taxonomy
251X00000X Supports Brokerage
Enumeration Date
2024-02-19
Last Update Date
2024-10-25
Business Address
COMMUNITY WELL CALIFORNIA
626 W LANCASTER BLVD # 61
LANCASTER, CA 93534-3108
Phone number: 909-990-1155
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Mailing Address
COMMUNITY WELL CALIFORNIA
626 W LANCASTER BLVD # 61
LANCASTER, CA 93534-3108
Phone number: 909-419-9278
Copy