Evelyn Lavern Thompson in Moreno Valley - Nursing Care, Pediatric
Evelyn Lavern Thompson - NPI 1104003763
Evelyn Lavern Thompson is a Nursing Care, Pediatric in Moreno Valley, California. Evelyn Lavern Thompson practices all healthcare services and medical treatments related to Nursing Care, Pediatric. The NPI Number for Evelyn Lavern Thompson is 1104003763. The last update date is 2008-01-25.
Evelyn Lavern Thompson's current location address is 12279 Lasselle St, Moreno Valley, California. You can contact this provider via phone number 9514856847. The mailing address for Evelyn Lavern Thompson is 12279 Lasselle St, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evelyn Lavern Thompson |
|---|---|
| Address | 12279 Lasselle St, Moreno Valley, California |
| Phone Number | 9514856847 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | L.V.N |
|---|---|
| Authorized Official Name | Thompson Lavern Evelyn |
| Telephone Number | 9514856847 |
NPI Number Detail
| NPI Number | 1104003763 |
|---|---|
| Provider Enumeration Date | 2008-01-25 |
| Last Updated Date | 2008-01-25 |
Provider Mailing Address Detail
| Address | 12279 Lasselle St |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925577705 |
| Phone Number | 9514856847 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Care, Pediatric |
|---|---|
| Taxonomy | 3140N1450X |
| Licence No | VN129832 |
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Definition: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restri |
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What is the unique provider identifier assigned to Evelyn Lavern Thompson?
The Evelyn Lavern Thompson has been issued the NPI (National Provider Identifier) 1104003763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Evelyn Lavern Thompson's physical address?
The Evelyn Lavern Thompson is physically located at 12279 Lasselle St, in the city of Moreno Valley, CA, with the postal code 925577705.
What is the Evelyn Lavern Thompson's specialty and taxonomy code?
The Evelyn Lavern Thompson's specialty is Nursing Care, Pediatric, and the corresponding taxonomy code is 3140N1450X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104003763 to Evelyn Lavern Thompson?
The Evelyn Lavern Thompson received its 1104003763 assignment from the Centers for Medicare & Medicaid Services on 2008-01-25.
When was the information pertaining to Evelyn Lavern Thompson most recently updated or revised?
The details related to Evelyn Lavern Thompson, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-25.