Organization
TELECARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY GOMEZ (LVN)
(760) 897-6249
Entity
Organization
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201
(760) 863-8600
Mailing address
47915 OASIS ST, INDIO, CA 92201
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
VN149882
CA
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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