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Organization
EQUICARE CONSULTANT GROUP LLC
Active
Organization
EQUICARE CONSULTANT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE IRENE BENNETT MPH (CEO)
(805) 975-7176
Entity
Organization
Contact information
Practice address
671 HOPE TERRACE CT, SANTA MARIA, CA 93455-3840
(805) 975-7176
Mailing address
671 HOPE TERRACE CT, SANTA MARIA, CA 93455-3840
(805) 975-7176
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
03/16/2026
Last updated
03/24/2026
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