Provider Demographics
NPI:1780219550
Name:TOGETHER WE GROW
Entity Type:Organization
Organization Name:TOGETHER WE GROW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
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:760-757-6031
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:760-757-6031
Mailing Address - Fax:760-407-8293
Practice Address - Street 1:42389 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4851
Practice Address - Country:US
Practice Address - Phone:760-757-6031
Practice Address - Fax:760-407-8293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child