Individual provider · Type 1 NPI
Mark Jordan Agresor
Assisted Living Facility · Palm Springs, CA
NPI number
1265971162
Active
Practice location
4425 Camino Parocela
Palm Springs, CA 92264
Mailing address
4425 E Camino Parocela
Palm Springs, CA 92264-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 00859592 (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.
Other assisted living facility providers in Palm Springs
About NPI 1265971162
Mark Jordan Agresor's National Provider Identifier is 1265971162, issued on Feb 13, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Palm Springs, CA. The record was last updated on Feb 13, 2017.