# CROWN HOME HEALTH AGENCY

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

## Provider details

- **NPI number:** 1073279139
- **Authorized official:** CHRISTOPHER MENOR (CEO)
- **Authorized official phone:** (442) 477-8172

## Contact information

- **Practice address:** 506 W GRAHAM AVE STE 206, LAKE ELSINORE, CA 92530-3667
- **Practice address phone:** (951) 610-7364
- **Practice address fax:** (858) 808-2891
- **Mailing address:** 1815 E WORKMAN AVE STE F, WEST COVINA, CA 91791-1423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2021
- **Last updated:** 08/20/2024