Organization
HIGHGROVE RECUPERATIVE CARE
Active
Other names
Highgrove Recuperative care center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAI ODUSAMI PHD (CEO)
(951) 772-6402
Entity
Organization
Contact information
Practice address
25630 FELICIA AVE, MENIFEE, CA 92586-2376
(951) 639-7350
Mailing address
25630 FELICIA AVE, MENIFEE, CA 92586-2376
(951) 772-6402
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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