Provider Demographics
NPI:1164887089
Name:POSITIVE DIRETIONS, INC.
Entity Type:Organization
Organization Name:POSITIVE DIRETIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-721-3525
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216-0098
Mailing Address - Country:US
Mailing Address - Phone:661-721-3525
Mailing Address - Fax:661-721-1701
Practice Address - Street 1:1371 GRIFFITH AVE
Practice Address - Street 2:
Practice Address - City:WASCO
Practice Address - State:CA
Practice Address - Zip Code:93280-2265
Practice Address - Country:US
Practice Address - Phone:661-721-3525
Practice Address - Fax:661-721-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120000518313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility