# PACIFIC HOME HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053719021
- **Authorized official:** ASHLEY LAUREN PAIGE HICKMAN (OWNER)
- **Authorized official phone:** (818) 649-7511

## Contact information

- **Practice address:** 655 N CENTRAL AVE FL 17, GLENDALE, CA 91203-1439
- **Practice address phone:** (818) 649-7511
- **Mailing address:** 655 N CENTRAL AVE FL 17, GLENDALE, CA 91203-1439
- **Mailing address phone:** (818) 649-7511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2014
- **Last updated:** 12/08/2014