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Organization
EMPHACARE HOME CARE AGENCY LLC
Active
Organization
EMPHACARE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKYLINE M MITCHELL C.N.A. (OWNER/MANAGER)
(909) 362-0248
Entity
Organization
Contact information
Practice address
7231 BOULDER AVE, STE. # 197, HIGHLAND, CA 92346-3313
(909) 362-0248
(909) 363-8679
Mailing address
7231 BOULDER AVE, STE. # 197, HIGHLAND, CA 92346-3313
(909) 362-0248
(909) 363-8679
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
11549
CA
253Z00000X
In Home Supportive Care Agency
Primary
11549
CA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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