# EGEMO HOME HEALTH SERVICE

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

## Provider details

- **NPI number:** 1154630853
- **Authorized official:** MRS. MARTHA JEAN EGEMO AA MEDICAL MANAGMENT (OWNER)
- **Authorized official phone:** (760) 754-7093

## Contact information

- **Practice address:** 1201 SEA CLIFF WAY, OCEANSIDE, CA 92056-2828
- **Practice address phone:** (760) 754-7093
- **Practice address fax:** (760) 754-2053
- **Mailing address:** 1201 SEA CLIFF WAY, OCEANSIDE, CA 92056-2828
- **Mailing address phone:** (760) 754-7093
- **Mailing address fax:** (760) 754-2053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 110810 | CA | Yes |

## Other

- **Enumeration date:** 09/28/2010
- **Last updated:** 09/28/2010