Provider Demographics
NPI:1366008906
Name:ADJUSTABLE CARE LIFE INC.
Entity Type:Organization
Organization Name:ADJUSTABLE CARE LIFE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORPUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-684-4284
Mailing Address - Street 1:2461 E ORANGETHORPE AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-5302
Mailing Address - Country:US
Mailing Address - Phone:714-684-4284
Mailing Address - Fax:
Practice Address - Street 1:2461 E ORANGETHORPE AVE STE 221
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-5302
Practice Address - Country:US
Practice Address - Phone:714-684-4284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based