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Organization
SUPERIOR HOME HEALTH CARE SERVICES INC
Active
Organization
SUPERIOR HOME HEALTH CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CESAR SALTIBAN PULANCO (CEO/PRESIDENT)
(909) 946-0186
Entity
Organization
Contact information
Practice address
555 NORTH BENSON AVENUE, SUITE B, UPLAND, CA 91786-5075
(909) 946-0186
(909) 946-0118
Mailing address
555 NORTH BENSON AVENUE, SUITE B, UPLAND, CA 91786-5075
(909) 946-0186
(909) 946-0118
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-8423
MEDICARE PROVIDER NUMBER
CA
Enumeration date
12/22/2006
Last updated
09/29/2017
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