MEDICARE: EMPLOYMENT & COMMUNITY OPTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1023465739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPLOYMENT & COMMUNITY OPTIONS

Provider Business Mailing Address
First Line	:	9370 SKY PARK CT
Second Line	:	STE. 210
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-5301
Country	:	US
Telephone Number	:	858-565-9870
Fax Number	:	858-565-9875

Provider Business Practice Location Address
First Line	:	9370 SKY PARK CT
Second Line	:	STE. 210
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-5301
Country	:	US
Telephone Number	:	858-565-9870
Fax Number	:	858-565-9875

Authorized Official
Title or Position	:	CEO
Name	:	MR. NANCY BATTERMAN
Credential	:
Telephone Number	:	858-565-9870

Provider Enumeration Date	:	05/23/2016
Last Update Date	:	05/23/2016

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