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Organization
INTEGRATED ELDER CARE INC.
Active
Organization
INTEGRATED ELDER CARE INC.
Active
Other names
Pacific Pines
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON ACERETO (CEO)
(909) 809-8570
Entity
Organization
Contact information
Practice address
217 N GROVE ST, REDLANDS, CA 92374-6000
(909) 801-1911
(909) 557-8717
Mailing address
217 N GROVE ST, REDLANDS, CA 92374-6000
(909) 809-8570
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
CA
177F00000X
Lodging Provider
—
CA
251G00000X
Community Based Hospice Care Agency
—
CA
251J00000X
Nursing Care Agency
—
CA
310400000X
Assisted Living Facility
366426701
CA
3104A0625X
Assisted Living Facility (Mental Illness)
—
CA
311500000X
Alzheimer Center (Dementia Center)
—
CA
311Z00000X
Custodial Care Facility
—
CA
313M00000X
Nursing Facility/Intermediate Care Facility
—
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730627050
MEDI-CAL
CA
Enumeration date
02/07/2017
Last updated
01/06/2022
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