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Organization
HIGHGROVE RECUPERATIVE CARE
Active
Organization
HIGHGROVE RECUPERATIVE CARE
Active
Other names
Highgrove Recuperative care center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAI ODUSAMI PHD (CEO)
(951) 772-6402
Entity
Organization
Contact information
Practice address
25630 FELICIA AVE, MENIFEE, CA 92586-2376
(951) 639-7350
Mailing address
25630 FELICIA AVE, MENIFEE, CA 92586-2376
(951) 772-6402
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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