Organization
WEED ARMY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN FRISONE (CREDENTIALS COORDINATOR)
(760) 380-5388
Entity
Organization
Contact information
Practice address
BUILDING 166 THIRD STREET, FORT IRWIN, CA 92310
(760) 380-3144
Mailing address
2301 MURIEL DR, #15, BARSTOW, CA 92311-6739
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
RN00165860
WA
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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