Organization
COMMUNITY WELL RECUPERATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RENEE PORTER (EXECUTIVE DIRECTOR)
(805) 888-8113
Entity
Organization
Contact information
Practice address
1411 E MAIN ST STE 202, SANTA MARIA, CA 93454-4811
(805) 888-8113
(424) 361-7766
Mailing address
1411 E MAIN ST STE 202, SANTA MARIA, CA 93454-4811
(805) 888-8113
(424) 361-7766
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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