Organization
HARVEST COMMUNITY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC BULLOCK (LEAD CARE MANAGER)
(619) 586-0278
Entity
Organization
Contact information
Practice address
1225 BEAUMONT AVE, BEAUMONT, CA 92223-1505
(619) 586-0278
Mailing address
1225 BEAUMONT AVE, BEAUMONT, CA 92223-1505
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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