Mark Jordan Agresor Valid NPI

Individual provider · Assisted Living Facility · Palm Springs, CA

NPI

1265971162

Type

Individual (Type 1)

Primary specialty

Assisted Living Facility

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

310400000X

License number

00859592 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-02-13

Last updated

2017-02-13