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Organization
IMPACT CARE LLC
Active
Organization
IMPACT CARE LLC
Active
Other names
Your Nurse at Home
Organization subpart
No
Provider details
NPI number
Authorized official
DANA CASTLEBERRY (ADMINISTRATOR)
(951) 579-9198
Entity
Organization
Contact information
Practice address
310 VIA VERA CRUZ STE 202, SAN MARCOS, CA 92078-2632
(951) 579-9198
Mailing address
1852 FOXFIRE RD, FALLBROOK, CA 92028-4106
(951) 579-9198
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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