Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. QUINCY EUGENE MCCULLOUGH
Active Sole ProprietorMR. QUINCY EUGENE MCCULLOUGH is a Assisted Living Facility healthcare provider located in VICTORVILLE, California. NPI 1184223943 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · VICTORVILLE, CA
Registration Details
- NPI Number
- 1184223943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2020 (5.8558748297189 yrs)
- Last Updated
- Oct 22, 2020
- License
-
361800175 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15693 CHOCTAW STVICTORVILLE, CA, 923955531Browse CA providers · Browse ZIP 92395
- Phone
- 4422292100
- Fax
- 4422292100
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in VICTORVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| DANIELA MANZAT | — | 1336802057 |
| STEPHANIE KUMALAO RICHARDSON | — | 1962107342 |
| ANGELA SHATTLES-BREEDLOVE | — | 1902679509 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.