| Immaculate Care Center,inc | |
|
24384 Sunnymead Blvd Suite 240 Moreno Valley CA 92553-3069 | |
| (951) 243-0303 | |
| (951) 243-3006 |
| Full Name | Immaculate Care Center,inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24384 Sunnymead Blvd, Moreno Valley, California |
| Authorized Official Name and Position | Doryce M Aguirre (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9512430303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immaculate Care Center,inc 24384 Sunnymead Blvd Suite 240 Moreno Valley CA 92553-3069 Ph: (951) 243-0303 | Immaculate Care Center,inc 24384 Sunnymead Blvd Suite 240 Moreno Valley CA 92553-3069 Ph: (951) 243-0303 |
| NPI Number | 1265728901 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265728901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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