Healthcare Provider Details

I. General information

NPI: 1023225257
Provider Name (Legal Business Name): ADULT PROTECTIVE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10920 SUMMIT AVENUE
SANTEE CA
92071
US

IV. Provider business mailing address

2840 ADAMS AVENUE SUITE 103
SAN DIEGO CA
92116-1404
US

V. Phone/Fax

Practice location:
  • Phone: 619-448-4366
  • Fax: 619-448-0062
Mailing address:
  • Phone: 619-283-5731
  • Fax: 619-283-1877

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: MR. MALACHY JOSEPH MURPHY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 619-283-5731