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Organization

IMMACULATE CARE CENTER,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DORYCE M AGUIRRE RAS (ADMINISTRATIVE DIRECTOR)
(951) 243-0303
Entity
Organization

Contact information

Practice address
24384 SUNNYMEAD BLVD, SUITE 240, MORENO VALLEY, CA 92553-3069
(951) 243-0303
(951) 243-3006
Mailing address
24384 SUNNYMEAD BLVD, SUITE 240, MORENO VALLEY, CA 92553-3069
(951) 243-0303
(951) 243-3006

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/21/2011
Last updated
06/21/2011
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