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Organization
SAN GABRIEL VALLEY HOMECARE LLC
Active
Organization
SAN GABRIEL VALLEY HOMECARE LLC
Active
Other names
Salus Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MORTENSEN (MANAGER)
(888) 725-8742
Entity
Organization
Contact information
Practice address
133 N ALTADENA DR, SUITE 435, PASADENA, CA 91107-7325
(888) 725-8742
Mailing address
630 ROOSEVELT, IRVINE, CA 92620-3621
(888) 725-8742
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
200620710080
CA
Other
Enumeration date
04/17/2008
Last updated
09/12/2012
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