Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JORDAN AGRESOR
Active Sole ProprietorMARK JORDAN AGRESOR is a Assisted Living Facility healthcare provider located in PALM SPRINGS, California. NPI 1265971162 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · PALM SPRINGS, CA
Registration Details
- NPI Number
- 1265971162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2017 (9.5165308681507 yrs)
- Last Updated
- Feb 13, 2017
- License
-
00859592 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4425 CAMINO PAROCELAPALM SPRINGS, CA, 92264Browse CA providers · Browse ZIP 92264
- Phone
- 7604132998
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in PALM SPRINGS, CA
| Name | Credential | NPI |
|---|---|---|
| WILLIE JUNIOR MOYER III | — | 1730531096 |
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.