| St. Clare's Home | |
|
2091 E Valley Pkwy Escondido CA 92027-2743 | |
| (760) 741-0122 | |
| (760) 741-1241 |
| Full Name | St. Clare's Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2091 E Valley Pkwy, Escondido, California |
| Authorized Official Name and Position | Teresa Ingrid Stewart-todd (DIRECTOR, ALCOHOL AND DRUG PROGRAMS) |
| Authorized Official Contact | 7607410122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Clare's Home 2091 E Valley Pkwy Escondido CA 92027-2743 Ph: (760) 741-0122 | St. Clare's Home 2091 E Valley Pkwy Escondido CA 92027-2743 Ph: (760) 741-0122 |
| NPI Number | 1891906400 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891906400 | NPI | - | NPPES |
| 3720 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CERT# I8540305 (California) | Primary |
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