MARK JORDAN AGRESOR NPI 1265971162

NPI Information

NPI: 1265971162
Provider Name: MARK JORDAN AGRESOR
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
4425 CAMINO PAROCELA
PALM SPRINGS, CA
ZIP 92264
Phone: (760) 413-2998
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Mark Jordan Agresor is an assisted living facility in Palm Springs, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Mark Jordan Agresor NPI is 1265971162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4425 CAMINO PAROCELA
PALM SPRINGS, CA
ZIP 92264
Phone: (760) 413-2998

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		00859592	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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