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Organization

ST. MARY HIGH DESERT HOME HEALTH SERVICES, LLC

Active
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Organization

ST. MARY HIGH DESERT HOME HEALTH SERVICES, LLC

Active
Other names
St. Mary High Desert Home Health, PROVIDENCE HOME HEALTH HIGH DESERT
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization

Contact information

Practice address
17051 MAIN ST, HESPERIA, CA 92345-6055
(909) 984-0400
(909) 984-4700
Mailing address
17081 MAIN ST, HESPERIA, CA 92345-6075

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—

Other

Enumeration date
10/08/2009
Last updated
05/16/2025
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