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1922387935 NPI number — IMMACULATE CARE CENTER,INC

NPI Number: 1922387935
Health Care Provider/Practitioner: IMMACULATE CARE CENTER,INC

Information about “1922387935” NPI (IMMACULATE CARE CENTER,INC) exists in 1922387935 in HTML format HTML  |  1922387935 in plain Text format TXT  |  1922387935 in PDF (Portable Document Format) PDF  |  1922387935 in an XML format XML  formats.

NPI Number : 1922387935 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922387935",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IMMACULATE CARE CENTER,INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3576 ARLINGTON AVE",
    "SecondLineMailingAddress": "SUITE 203",
    "MailingAddressCityName": "RIVERSIDE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92506-3943",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-254-5506",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3576 ARLINGTON AVE",
    "SecondLinePracticeLocationAddress": "SUITE 203",
    "PracticeLocationAddressCityName": "RIVERSIDE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92506-3943",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-254-5506",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/08/2011",
    "LastUpdateDate": "08/08/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AGUIRRE",
    "AuthorizedOfficialFirstName": "DORYCE",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "ADMINISTRATIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RAS",
    "AuthorizedOfficialTelephoneNumber": "951-254-5506",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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