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Mark Jordan Agresor
Assisted Living Facility in Palm Springs, California
NPI 1265971162

Mark Jordan Agresor is an Assisted Living Facility based in Palm Springs, CA. Mark Jordan Agresor practices in Palm Springs, CA. The NPI Number for Mark Jordan Agresor is 1265971162 and holds a License No. 00859592 (California).

The current practice location address for Mark Jordan Agresor is 4425 Camino Parocela, Palm Springs, CA and can be reached out via phone at 760-413-2998.

Location: 4425 Camino Parocela, Palm Springs, CA, 92264-1451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265971162
Provider Name
Mark Jordan Agresor
Credential
Provider Entity Type
Individual
Gender
Male
Address
4425 Camino Parocela, Palm Springs, CA, 92264-1451
Phone Number
760-413-2998
Fax Number
Provider Enumeration Date
02/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4425 Camino Parocela
City
Palm Springs
State
California
Zip
92264
Phone Number
760-413-2998
Fax Number
person
Provider Business Mailing Address Details
Address
4425 Camino Parocela
City
Palm Springs
State
California
Zip
92264
Phone Number
760-413-2998
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
00859592 (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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