PEACOCK DESERT ROSE SERVICES LIMITED NPI 1356945562

NPI Information

PEACOCK DESERT ROSE SERVICES LIMITED is a licensed vocational nurse in San Bernardino, CA. The provider is a licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. PEACOCK DESERT ROSE SERVICES LIMITED NPI is 1356945562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

967 KENDALL DR # A329
SAN BERNARDINO, CA
ZIP 92407-306
Phone: (909) 689-6095

The provider's authorized official is Kai Harper .
The authorized official title is President and has the following contact phone number (909) 689-6095.

The enumeration date for this NPI number is 11/29/2020 and was last updated on 11/29/2020.

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:

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