Organization
ST MARTIN HIGH DESERT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA VAZQUEZ (CEO)
(442) 255-4992
Entity
Organization
Contact information
Practice address
15475 SENECA RD STE A, VICTORVILLE, CA 92392-2299
(442) 255-4992
(442) 255-4993
Mailing address
15475 SENECA RD STE A, VICTORVILLE, CA 92392-2299
(760) 881-9794
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
04/04/2022
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