Paciencia Casim Santos LICENSEE

NPI 1003048315 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1003048315
Gender Female
Enumeration Date 08/20/2009
Last Updated 08/20/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
10140 LEUCADIA LANE
RIVERSIDE CA, 92503, US
Phone (951) 687-3140
Fax (951) 687-3140
Business Location
10140 LEUCADIA LANE
RIVERSIDE CA, 92503, US
Phone (951) 687-3140
Fax (951) 687-3140
Toxanomy
Taxonomy Code 320900000X
License State California
License Number 336403984
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According to our database, Mrs. Paciencia Casim Santos LICENSEE NPI is 1003048315, taxonomy code is 320900000X and license number is 336403984, license state is located at California. Paciencia Casim Santos LICENSEE physically located at 10140 Leucadia Lane, Riverside CA, 92503. NPI Number Paciencia Casim Santos LICENSEE has the Individual type.

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1003048315 NPI number is provided on an as is basis without warranty of any kind. 1003048315 is maintained by the National Plan & Provider Enumeration System. The contents of Paciencia Casim Santos LICENSEE are for informational purposes only.