Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Quincy Eugene McCullough

Individual provider Assisted Living Facility · NPI 1184223943

Mr. Quincy Eugene McCullough is an Assisted Living Facility in Victorville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

15693 Choctaw St
Victorville, CA 92395-5531
Phone: (442) 229-2100
Fax: (442) 229-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 361800175 (CA)

Record details

NPI number1184223943
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020

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