Ponderosa Healthcare LLC

NPI #1427820976 in Milpitas, California

Provider Information

NPI Number
1427820976
Entity Type
Organization
Organization Name
Ponderosa Healthcare LLC
Primary Specialty
Home Health
Enumeration Date
Oct 27, 2023
Last Updated
Oct 27, 2023

Practice Location

Address
830 HILLVIEW CT STE 225
ZIP Code
95035-4563
Phone
(510) 739-1992

Authorized Official

Name
LEE JOHNSON
Title
TREASURER
Phone
(208) 401-1369

Specialties & Taxonomy Codes

Specialty
Home Health

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