La Homecare Provider INC
NPI #1811956394 in San Dimas, California
Provider Information
- NPI Number
- 1811956394
- Entity Type
- Organization
- Organization Name
- La Homecare Provider INC
- Primary Specialty
- Registered Nurse - Home Health
- Enumeration Date
- Mar 22, 2006
- Last Updated
- Mar 21, 2012
Practice Location
- Address
- 1117 VIA VERDE
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-4400
- Phone
- (909) 599-0777
Authorized Official
- Name
- MARNEY MARTINEZ, RN
- Title
- VICE PRES/ ADMINISTRATOR
- Phone
- (909) 599-0777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Home Health — Home Health |
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