# UNITED NURSING PERSONAL CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053677799
- **Authorized official:** MRS. ROSA A PORTILLO RN (DON)
- **Authorized official phone:** 76024447347

## Contact information

- **Practice address:** 16044 BEAR VALLEY RD STE 5, VICTORVILLE, CA 92395-8981
- **Practice address phone:** (760) 244-4737
- **Practice address fax:** (760) 244-7033
- **Mailing address:** 13001 MIRAGE RD, VICTORVILLE, CA 92392-6311
- **Mailing address phone:** (760) 244-4737
- **Mailing address fax:** (760) 244-7033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2012
- **Last updated:** 04/06/2012