Organization
COMMUNITY CARE PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENNELL MANSON (OWNER)
(760) 402-5753
Entity
Organization
Contact information
Practice address
330 S MAGNOLIA AVE STE 202, EL CAJON, CA 92020-5224
(760) 402-5753
Mailing address
4557 EDGEWARE RD, SAN DIEGO, CA 92116-4724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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