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Organization
MIRAGE HOME HEALTH LLC
Active
Organization
MIRAGE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A MABBAYAD RN (ADMINISTRATOR)
(760) 799-4025
Entity
Organization
Contact information
Practice address
2145 E TAHQUITZ CANYON WAY STE 3, PALM SPRINGS, CA 92262-7020
(760) 322-3700
(760) 322-3710
Mailing address
2145 E TAHQUITZ CANYON WAY STE 3, PALM SPRINGS, CA 92262-7020
(760) 322-3700
(760) 322-3710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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