NPI 1023457595

Total Longterm Care, INC

Organisation PACE Provider Organization San Bernardino, CA

Practice location

Address: 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869
Phone: (909) 488-4258
Mailing address: 8950 E Lowry Blvd, Denver, CO 80230-7030

Authorised official

Name: Gayle Washington
Title: Credentialing Director
Phone: (039) 127-1933

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in California →

Registry record

NPI: 1023457595
Entity type: Organization
NPI issued: 18 Jun 2013
Record last updated: 31 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.