Healthcare Provider Details
I. General information
NPI: 1255454633
Provider Name (Legal Business Name): POSITIVE DIRECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1031 KALA LOOP
MC FARLAND CA
93250-1062
US
IV. Provider business mailing address
1231 MAIN ST
DELANO CA
93215-1735
US
V. Phone/Fax
- Phone: 661-721-3525
- Fax: 661-721-1701
- Phone: 661-721-3525
- Fax: 661-721-1701
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 313M00000X |
| Taxonomy | Nursing Facility/Intermediate Care Facility |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MS.
TRISHA
ANGELINE
LAGUE
Title or Position: CO-CEO
Credential:
Phone: 661-721-3525