# DR. MARY E. WALKER CENTER

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

## Provider details

- **NPI number:** 1497834840
- **Authorized official:** LADESCA DAWN SMITH LPN (LPN)
- **Authorized official phone:** (760) 386-3290

## Contact information

- **Practice address:** 5306A GOPHER LN, FORT IRWIN, CA 92310-2205
- **Practice address phone:** (760) 386-3290
- **Mailing address:** 5306A GOPHER LN, FORT IRWIN, CA 92310-2205
- **Mailing address phone:** (760) 386-3290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 218428 | CA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 08/22/2020