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General NPI Number Information
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NPI Number | 1104215920
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Entity Type | Organization
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Legal Business Name | DESERT CARE ENTERPRISES LLC
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 555 S SUNRISE WAY STE 213
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City | PALM SPRINGS
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State | CA
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Zip | 92264-7869
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Country | US
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Telephone | 760-318-0668
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Fax | 760-318-0745
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Provider Business Mailing Address
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Address Line | 555 S SUNRISE WAY STE 213
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City | PALM SPRINGS
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State | CA
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Zip | 92264-7869
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Country | US
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Telephone | 760-318-0668
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Fax | 760-318-0745
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Authorized Official
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Title or Position | OFFICER
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Name | MRS. CLAIRE ITCHON CAMUA
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Credential | NP-C
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Telephone | 760-799-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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