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Organization
STAYHOME SENIOR CARE
Active
Organization
STAYHOME SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TESS MOHR (OWNER)
(805) 582-9466
Entity
Organization
Contact information
Practice address
6406 WHITE ST, SIMI VALLEY, CA 93063-3861
(805) 582-9466
(805) 582-9413
Mailing address
6406 WHITE ST, SIMI VALLEY, CA 93063-3861
(805) 582-9466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
736501
SIMI VALLEY CITY BUSINESS LICENSE
CA
Enumeration date
05/26/2011
Last updated
05/26/2011
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