Organization
WCHS- TEMECULA VALLEY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACEY ANN MARIE PHILLIPS (LVN)
(951) 723-0348
Entity
Organization
Contact information
Practice address
40700 CALIFORNIA OAKS RD, SUITE 202, MURRIETA, CA 92562-5795
(951) 894-5072
(951) 894-7324
Mailing address
40700 CALIFORNIA OAKS RD, SUITE 202, MURRIETA, CA 92562-5795
(951) 894-5072
(951) 894-7324
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
263312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330652055
—
CA
Enumeration date
03/26/2013
Last updated
03/26/2013
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