Organization
LANCASTER ADULT DAY HEALTH CARE
Active
Parent organization
ANTELOPE VALLEY COMMUNITY CLINIC
Other names
Lancaster Adult Day Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTELOPE VALLEY COMMUNITY CLINIC
Authorized official
MR. JAMES A COOK (C.E.O.)
(661) 942-2391
Entity
Organization
Contact information
Practice address
858 W. JACKMAN, SUITE #101, LANCASTER, CA 93534
(661) 948-1228
(661) 948-8109
Mailing address
45104 10TH STREET WEST, LANCASTER, CA 93534
(661) 942-2391
(661) 902-6839
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000691
CA
261QA0600X
Adult Day Care Clinic/Center
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70254G
—
CA
05
—
CMCSUBKMN
—
CA
Enumeration date
06/22/2007
Last updated
08/20/2013
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