Organization
DIRECT CARE MEDICAL RESPITE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC HARBERT LVN (DIRECTOR)
(661) 860-2167
Entity
Organization
Contact information
Practice address
38713 TIERRA SUBIDA AVE, 200-185, PALMDALE, CA 93551-4562
(661) 860-2167
(611) 233-9817
Mailing address
38713 TIERRA SUBIDA AVE, 200-185, PALMDALE, CA 93551-4562
(661) 860-2167
(661) 233-9817
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
207368
CA
251J00000X
Nursing Care Agency
207368
CA
253Z00000X
In Home Supportive Care Agency
207368
CA
385H00000X
Respite Care
207368
CA
Other
Enumeration date
10/17/2009
Last updated
06/18/2014
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