Organization
LIFE COMMUNITY DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOIS PERKINS (CEO)
(760) 246-0691
Entity
Organization
Contact information
Practice address
14755 BO CT, ADELANTO, CA 92301-6077
(760) 246-0261
Mailing address
15815 HORIZON WAY, ADELANTO, CA 92301-6312
(760) 530-0199
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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