Jouise Black
Individual provider Active NPI Case Manager/Care Coordinator · Yucca Valley, CA
NPI 1972764488 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1972764488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 58923 Business Center Dr
Suite E
Yucca Valley, CA 92284-7311 - Phone
- (760) 365-7209
- Fax
- (760) 365-7946
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of Southern California | Case Manager/Care Coordinator | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
58923 Business Center Dr
Suite E
Yucca Valley, CA 92284-7311
Mailing address
58923 Business Center Dr
Suite E
Yucca Valley, CA 92284-7311
Phone (760) 365-7209
Other providers in Yucca Valley, CA
- Bhaskarara Nalam MD a Med Corp
- Tricia Biddle
- Cara Lyn Bigornia
- Patrick Billings
- Roy F Billings
- Bryan Paul Blackwell
- Stacey Michele Blackwell
- Blue Orthopedic Institute
- Dawn Irene Blue
- Julie K Botts
All providers in Yucca Valley, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.