# INTEGRATED CARE COMMUNITIES, INC.

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

## Provider details

- **NPI number:** 1629373741
- **Authorized official:** PHILLIP C SAUCEDO MBA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (951) 243-3837

## Contact information

- **Practice address:** 11751 DAVIS ST, MORENO VALLEY, CA 92557-6316
- **Practice address phone:** (951) 243-3837
- **Practice address fax:** (951) 485-2642
- **Mailing address:** 11751 DAVIS ST, MORENO VALLEY, CA 92557-6316
- **Mailing address phone:** (951) 243-3837
- **Mailing address fax:** (951) 485-2642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2011
- **Last updated:** 01/20/2011