Telecare Ridgecrest Csu
Licensed Vocational Nurse in Ridgecrest, CA. Organization (NPI-2).
NPI number1982470134
StatusActive
Last updated in NPPESJan 5, 2024
Details
- NPI
- 1982470134
- Entity type
- Organization (NPI-2)
- Legal business name
- Telecare Ridgecrest Csu
- Organization subpart
- No
- Enumeration date
- Nov 29, 2023
- Certification date
- Jan 5, 2024
- Last updated
- Jan 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
1141 Chelsea StRidgecrest, CA 93555-3208
Phone 760-463-2880
Mailing address
1141 Chelsea StRidgecrest, CA 93555-3208
Phone 760-463-2880
Authorized official
Natasha Sophie Cruz
Lvn
6263938666
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