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Organization
RENAISSANCE HEALTHCARE INC
Active
Organization
RENAISSANCE HEALTHCARE INC
Active
Other names
St Mary Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORAZON C APO BSN (ADMINISTRATOR)
(909) 623-9972
Entity
Organization
Contact information
Practice address
750 TERRADO PLAZA, SUITE 119, COVINA, CA 91723-3411
(909) 623-9972
(909) 623-9970
Mailing address
750 TERRADO PLAZA, SUITE 119, COVINA, CA 91723-3411
(909) 623-9972
(909) 623-9970
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001493
CA
Other
Enumeration date
11/30/2006
Last updated
06/16/2015
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