# DOMUS HOME HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1477811552
- **Authorized official:** MR. WILLIAM DAVID MOUNTAIN (PRESIDENT)
- **Authorized official phone:** (530) 605-4671

## Contact information

- **Practice address:** 445 HEMSTED DR, SUITE C, REDDING, CA 96002-0143
- **Practice address phone:** (530) 605-4671
- **Practice address fax:** (530) 605-4673
- **Mailing address:** 445 HEMSTED DR, SUITE C, REDDING, CA 96002-0143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2012
- **Last updated:** 04/26/2012