Provider Demographics
NPI:1023382637
Name:ST CECI'S CARE CORP
Entity Type:Organization
Organization Name:ST CECI'S CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ARMANDO
Authorized Official - Last Name:CACERES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-797-2038
Mailing Address - Street 1:810 ROCKVALE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2972
Mailing Address - Country:US
Mailing Address - Phone:805-797-2038
Mailing Address - Fax:
Practice Address - Street 1:810 ROCKVALE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2972
Practice Address - Country:US
Practice Address - Phone:805-797-2038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility