Healthcare Provider Details

I. General information

NPI: 1528286804
Provider Name (Legal Business Name): DACAREINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 MERCED AVE
MERCED CA
95340-5332
US

IV. Provider business mailing address

643 MAIN ST
BRAWLEY CA
92227-2547
US

V. Phone/Fax

Practice location:
  • Phone: 209-388-9175
  • Fax: 209-388-9176
Mailing address:
  • Phone: 760-344-4654
  • Fax: 760-344-4608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MISS ELIZABETH MACHADO
Title or Position: OWNER ADMINISTRATOR
Credential:
Phone: 760-344-4654