| Lodgequest | |
|
16955 Lemon St Hesperia CA 92345-5139 | |
| (760) 947-8223 | |
| (760) 947-8225 |
| Full Name | Lodgequest |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16955 Lemon St, Hesperia, California |
| Authorized Official Name and Position | Beth Ann Rosica (VICE PRESIDENT - SERVICE DELIVERY) |
| Authorized Official Contact | 6104862280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lodgequest 352 Marshallton Thorndale Rd Downingtown PA 19335-2063 Ph: (610) 486-2280 | Lodgequest 16955 Lemon St Hesperia CA 92345-5139 Ph: (760) 947-8223 |
| NPI Number | 1659579738 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659579738 | NPI | - | NPPES |
| 04-74049-000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 06-08508 (California) | Primary |
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