# PRISMATIC BODIES LLC

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

## Provider details

- **NPI number:** 1083570154
- **Authorized official:** ANGELICA LYNNE RACHEL MARIE BURSEY (OWNER)
- **Authorized official phone:** (909) 894-6420

## Contact information

- **Practice address:** 945 HAZEL AVE, SAN BERNARDINO, CA 92410-2713
- **Practice address phone:** (909) 894-6420
- **Mailing address:** 945 HAZEL AVE, SAN BERNARDINO, CA 92410-2713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/01/2026
- **Last updated:** 01/01/2026