person
Mr. Quincy Eugene Mccullough
Assisted Living Facility in Victorville, California
NPI 1184223943

Quincy Eugene Mccullough is an Assisted Living Facility based in Victorville, CA. Quincy Eugene Mccullough practices in Victorville, CA. The NPI Number for Quincy Eugene Mccullough is 1184223943 and holds a License No. 361800175 (California).

The current practice location address for Quincy Eugene Mccullough is 15693 Choctaw St, Victorville, CA and can be reached out via phone at 442-229-2100 and via fax at 442-229-2100.

Location: 15693 Choctaw St, Victorville, CA, 92395-5531
person
Provider Profile Details
NPI Number
1184223943
Provider Name
Quincy Eugene Mccullough
Credential
Provider Entity Type
Individual
Gender
Male
Address
15693 Choctaw St, Victorville, CA, 92395-5531
Phone Number
442-229-2100
Fax Number
442-229-2100
Provider Enumeration Date
10/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15693 Choctaw St
City
State
Zip
92395-5531
Phone Number
442-229-2100
Fax Number
442-229-2100
person
Provider Business Mailing Address Details
Address
15693 Choctaw St
City
State
Zip
92395-5531
Phone Number
442-229-2100
Fax Number
442-229-2100
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
361800175 (California)
Definition
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.
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