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NPI Code Detail

MEDICARE: RSCR CALIFORNIA, INC.

MEDICARE: RSCR CALIFORNIA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1315P00000XIntellectual Disabilities Intermediate Care FacilityCA

General Provider Information

NPI Number : 1679708028
Entity Type Code : Organization
Provider Name (Legal Business Name) : RSCR CALIFORNIA, INC.
Provider Business Mailing Address
First Line : 9901 LINN STATION RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3808
Country : US
Telephone Number : 800-866-0860
Fax Number :
Provider Business Practice Location Address
First Line : 1384 FRAULINE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-2922
Country : US
Telephone Number : 800-866-0860
Fax Number :
Authorized Official
Title or Position : PRIVACY OFFICER
Name : DEENA OMBRES
Credential :
Telephone Number : 502-394-2387
Provider Enumeration Date : 05/28/2009
Last Update Date : 05/28/2009

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Directions to “RSCR CALIFORNIA, INC. ” Practice Location

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