Provider Demographics
NPI:1568972891
Name:RAC & ASSC, INC
Entity Type:Organization
Organization Name:RAC & ASSC, INC
Other - Org Name:SPECIALCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:RACCIATO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PHN
Authorized Official - Phone:858-694-5800
Mailing Address - Street 1:2120 THIBODO RD
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-7901
Mailing Address - Country:US
Mailing Address - Phone:858-694-5800
Mailing Address - Fax:760-407-8293
Practice Address - Street 1:2120 THIBODO RD
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-7901
Practice Address - Country:US
Practice Address - Phone:858-694-5800
Practice Address - Fax:760-407-8293
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAC & ASSC., INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97361332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies