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Organization
A CARE COORDINATION AGENCY
Active
Organization
A CARE COORDINATION AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD EDWARD III CREER (PRESIDENT)
(323) 770-1727
Entity
Organization
Contact information
Practice address
18064 WIKA RD STE 201, APPLE VALLEY, CA 92307-2182
(323) 770-1727
Mailing address
18064 WIKA RD STE 201, APPLE VALLEY, CA 92307-2182
(323) 770-1727
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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