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Organization
MODERN HOME HEALTH CARE, INC.
Active
Organization
MODERN HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TITA T MANGLICMOT RN (DOPCS / ADMINISTRATOR)
(619) 476-6619
Entity
Organization
Contact information
Practice address
3130 BONITA RD, SUITE 103, CHULA VISTA, CA 91910-3263
(619) 476-6619
(619) 585-1798
Mailing address
3130 BONITA RD, SUITE 103, CHULA VISTA, CA 91910-3263
(619) 476-6619
(619) 585-1798
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
09/05/2013
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