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Organization
INTEGRATED CARE COMMUNITIES, INC.
Active
Organization
INTEGRATED CARE COMMUNITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP C SAUCEDO MBA (CHIEF FINANCIAL OFFICER)
(951) 243-3837
Entity
Organization
Contact information
Practice address
11751 DAVIS ST, MORENO VALLEY, CA 92557-6316
(951) 243-3837
(951) 485-2642
Mailing address
11751 DAVIS ST, MORENO VALLEY, CA 92557-6316
(951) 243-3837
(951) 485-2642
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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