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Organization
RENAISSANCE HOME HEALTH CARE INC.
Active
Organization
RENAISSANCE HOME HEALTH CARE INC.
Active
Other names
Renaissance Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA JEAN EGBERT RN, MSN (ADMINISTRATOR)
(619) 285-1505
Entity
Organization
Contact information
Practice address
3160 CAMINO DEL RIO S STE 312, SAN DIEGO, CA 92108-3835
(619) 285-1505
(619) 285-1605
Mailing address
3160 CAMINO DEL RIO S STE 312, SAN DIEGO, CA 92108-3835
(619) 285-1505
(619) 285-1605
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
080000782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080000782
HOME HEALTH LICENSE
CA
05
—
HHA08281F
—
CA
Enumeration date
08/10/2005
Last updated
03/07/2013
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