# CLEO HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366205569
- **Authorized official:** NANIK HATSAKORZIAN (OWNER/PRESIDENT)
- **Authorized official phone:** (818) 731-7083

## Contact information

- **Practice address:** 2817 ROCKRIDGE DR, FAIRFIELD, CA 94534-8624
- **Practice address phone:** (707) 977-9800
- **Mailing address:** 2817 ROCKRIDGE DR, FAIRFIELD, CA 94534-8624
- **Mailing address phone:** (707) 977-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 02/01/2024