# HIGHGROVE RECUPERATIVE CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Highgrove Recuperative care center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417705674
- **Authorized official:** DR. TAI ODUSAMI PHD (CEO)
- **Authorized official phone:** (951) 772-6402

## Contact information

- **Practice address:** 25630 FELICIA AVE, MENIFEE, CA 92586-2376
- **Practice address phone:** (951) 639-7350
- **Mailing address:** 25630 FELICIA AVE, MENIFEE, CA 92586-2376
- **Mailing address phone:** (951) 772-6402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2024
- **Last updated:** 05/10/2024