Indian Canyon Pacc, LLC
NPI #1760118962 in Yucca Valley, California
Provider Information
- NPI Number
- 1760118962
- Entity Type
- Organization
- Organization Name
- Indian Canyon Pacc, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 29, 2022
- Last Updated
- Feb 16, 2023
Practice Location
- Address
- 57333 JOSHUA LN
- City
- Yucca Valley
- State
- California
- ZIP Code
- 92284-4124
- Phone
- (760) 853-4750
Authorized Official
- Name
- STEVEN R POWELL
- Title
- PRESIDENT/MEMBER
- Phone
- (909) 795-2421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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