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Organization
ST. JOSEPH HOME CARE NETWORK
Active
Organization
ST. JOSEPH HOME CARE NETWORK
Active
Other names
PROVIDENCE HOME HEALTH HUMBOLDT
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
2127 HARRISON AVENUE #3, EUREKA, CA 95501
(714) 712-9500
(714) 712-7060
Mailing address
PO BOX 31001-1986, PASADENA, CA 91110-1986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010000057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07256H
—
CA
Enumeration date
10/04/2006
Last updated
05/16/2025
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