# PROVIDENCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1124246244
- **Authorized official:** MRS. JESSICA NAKITA JONES-MONTGOMERY BSW, MPA (CASE MANAGER)
- **Authorized official phone:** (661) 822-8223

## Contact information

- **Practice address:** 43545 KIRKLAND AVE, APT.36, LANCASTER, CA 93535-4668
- **Practice address phone:** (661) 948-7830
- **Mailing address:** 43545 KIRKLAND AVE, APT.36, LANCASTER, CA 93535-4668
- **Mailing address phone:** (661) 948-7830

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020