Healthcare Provider Details

I. General information

NPI: 1063967909
Provider Name (Legal Business Name): ALL CARE TRANSITION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2016
Last Update Date: 08/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26357 PEACOCK PL
STEVENSON RANCH CA
91381-1143
US

IV. Provider business mailing address

26357 PEACOCK PL
STEVENSON RANCH CA
91381-1143
US

V. Phone/Fax

Practice location:
  • Phone: 661-259-9251
  • Fax: 661-259-9251
Mailing address:
  • Phone: 661-259-9251
  • Fax: 661-259-9251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JACK ISBELL
Title or Position: MEMBER
Credential: D.C.
Phone: 661-259-9251