# TRACIE ANN BRATCHER

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

## Provider details

- **NPI number:** 1447404843
- **Authorized official:** MRS. TRACIE ANN BRATCHER LVN (LVN/CARE GIVER)
- **Authorized official phone:** (951) 681-2259

## Contact information

- **Practice address:** 8615 LAKEVIEW AVE, RIVERSIDE, CA 92509-5915
- **Practice address phone:** (951) 681-2259
- **Practice address fax:** (951) 681-2259
- **Mailing address:** 8615 LAKEVIEW AVE, RIVERSIDE, CA 92509-5915
- **Mailing address phone:** (951) 681-2259
- **Mailing address fax:** (951) 681-2259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2008
- **Last updated:** 11/12/2008