Individual provider · Type 1 NPI

Quincy Eugene McCullough

Assisted Living Facility · Victorville, CA

NPI number 1184223943 Active

Practice location

15693 Choctaw St
Victorville, CA 92395-5531

Call (442) 229-2100 Map

Fax (442) 229-2100

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X361800175 (CA)

Assisted Living Facility: 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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About NPI 1184223943

Quincy Eugene McCullough's National Provider Identifier is 1184223943, issued on Oct 22, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Victorville, CA. The record was last updated on Oct 22, 2020.