# DIRECT CARE MEDICAL RESPITE INC.

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

## Provider details

- **NPI number:** 1649506171
- **Authorized official:** MR. CEDRIC HARBERT LVN (DIRECTOR)
- **Authorized official phone:** (661) 860-2167

## Contact information

- **Practice address:** 38713 TIERRA SUBIDA AVE, 200-185, PALMDALE, CA 93551-4562
- **Practice address phone:** (661) 860-2167
- **Practice address fax:** (611) 233-9817
- **Mailing address:** 38713 TIERRA SUBIDA AVE, 200-185, PALMDALE, CA 93551-4562
- **Mailing address phone:** (661) 860-2167
- **Mailing address fax:** (661) 233-9817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 207368 | CA | Yes |
| 251J00000X | Nursing Care Agency | 207368 | CA | — |
| 253Z00000X | In Home Supportive Care Agency | 207368 | CA | — |
| 385H00000X | Respite Care | 207368 | CA | — |

## Other

- **Enumeration date:** 10/17/2009
- **Last updated:** 06/18/2014