# PUBLIC IN-HOME SUPPORT SERVICES AUTHORITY

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

## Provider details

- **NPI number:** 1770237232
- **Authorized official:** MR. JOHN HUNTER JR. (ADMINISTRATOR)
- **Authorized official phone:** (305) 923-8312

## Contact information

- **Practice address:** 9325 APPLETON ST \# 79, VICTORVILLE, CA 92392-1843
- **Practice address phone:** (310) 283-6720
- **Mailing address:** 32295 MISSION TRL \# 8-312, LAKE ELSINORE, CA 92530-2305
- **Mailing address phone:** (305) 923-8312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 02/03/2022