# ISLAMIC SONIOR CENTER OF COACHELL VALLEY

> 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:** 1184584765
- **Authorized official:** MR. MOHAMMED S BWANEH (FOUNDER)
- **Authorized official phone:** (805) 904-7882

## Contact information

- **Practice address:** 73960 HIGHWAY 111 STE 4, PALM DESERT, CA 92260-4032
- **Practice address phone:** (760) 404-0447
- **Mailing address:** 73960 HIGHWAY 111 STE 4, PALM DESERT, CA 92260-4032
- **Mailing address phone:** (760) 404-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2025
- **Last updated:** 11/14/2025