# HEALTH FIX HOME HEALTH

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

## Provider details

- **NPI number:** 1104684208
- **Authorized official:** MILES BALLESTEROS (ADMINISTRATOR)
- **Authorized official phone:** (951) 255-1102

## Contact information

- **Practice address:** 16506 OAKVILLE ST, FONTANA, CA 92336-6118
- **Practice address phone:** (951) 255-1102
- **Mailing address:** 16506 OAKVILLE ST, FONTANA, CA 92336-6118
- **Mailing address phone:** (951) 255-1102

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 03/12/2024
