Individual provider · NPI-1
Shadajah Mercedes Adams
Case Manager/Care Coordinator · Riverside, CA
NPI number1891545836
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1891545836
- Entity type
- Individual (NPI-1)
- Name
- Shadajah Mercedes Adams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2085 Rustin Ave Ste ARiverside, CA 92507-2498
Phone 951-715-5040
Mailing address
2085 Rustin Ave Ste ARiverside, CA 92507-2498
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