Sp22independent Living LLC
NPI #1346979887 in Victorville, California
Provider Information
- NPI Number
- 1346979887
- Entity Type
- Organization
- Organization Name
- Sp22independent Living LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jun 9, 2022
- Last Updated
- Jun 9, 2022
Practice Location
- Address
- 13191 QUIET CANYONS DR
- City
- Victorville
- State
- California
- ZIP Code
- 92395-9239
- Phone
- (213) 442-9068
Authorized Official
- Name
- SANDRA PARKER
- Title
- OWNER
- Phone
- (213) 442-9068
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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