Organization
WILSHIRE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI MELLO (DIRECTOR OF SENIOR SERVICE)
(805) 547-7025
Entity
Organization
Contact information
Practice address
285 SOUTH ST, SUITE J, SAN LUIS OBISPO, CA 93401-5037
(805) 547-7025
Mailing address
285 SOUTH ST, SUITE J, SAN LUIS OBISPO, CA 93401-5037
(805) 547-7025
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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