# COMPANIONSHIP HEALTH PROVIDER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CoHP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265607030
- **Authorized official:** MR. JETT ASINAS MERCADO MPA (CEO)
- **Authorized official phone:** (707) 853-7042

## Contact information

- **Practice address:** 2608 SPRINGS RD, SUITE B, VALLEJO, CA 94591-5713
- **Practice address phone:** (707) 534-7772
- **Mailing address:** 2608 SPRINGS RD, SUITE B, VALLEJO, CA 94591-5713
- **Mailing address phone:** (707) 534-7772

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008