# WACH

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

## Provider details

- **NPI number:** 1396800975
- **Authorized official:** MR. LEZLIE KEITH BEARD (LVN 68WM6)
- **Authorized official phone:** (760) 380-2621

## Contact information

- **Practice address:** 1801 E RIMROCK RD APT P21 BOX114, BARSTOW, CA 92311-5745
- **Practice address phone:** (661) 717-8268
- **Mailing address:** 1801 E RIMROCK RD APT P21 BOX114, BARSTOW, CA 92311-5745
- **Mailing address phone:** (661) 717-8268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 207529 | TX | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 08/22/2020