Imagine Supported Living Services
NPI #1356533244 in Aptos, California
Provider Information
- NPI Number
- 1356533244
- Entity Type
- Organization
- Organization Name
- Imagine Supported Living Services
- Primary Specialty
- Case Management
- Enumeration Date
- Aug 14, 2007
- Last Updated
- Jan 18, 2021
Practice Location
- Address
- 9065 SOQUEL DR
- City
- Aptos
- State
- California
- ZIP Code
- 95003-4001
- Phone
- (831) 464-8355
Authorized Official
- Name
- DOUGLAS PASCOVER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (831) 464-8355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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