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Organization
WILSHIRE HEALTH AND COMMUNITY SERVICES, INC.
Active
Organization
WILSHIRE HEALTH AND COMMUNITY SERVICES, INC.
Active
Other names
Wilshire Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE IRENE SMITH (ADMINISTRATOR)
(805) 782-8600
Entity
Organization
Contact information
Practice address
277 SOUTH ST, SUITE W, SAN LUIS OBISPO, CA 93401-5039
(805) 782-8600
(805) 782-6981
Mailing address
277 SOUTH ST, SUITE W, SAN LUIS OBISPO, CA 93401-5039
(805) 782-8600
(805) 782-6981
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
050000487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08079F
—
CA
01
—
ZZZ615507
MEDICAL NUMBER
CA
Enumeration date
07/08/2005
Last updated
11/17/2023
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