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Organization
MAVERICK NEUROLOGICAL HEALTHCARE GROUP, INC.
Active
Organization
MAVERICK NEUROLOGICAL HEALTHCARE GROUP, INC.
Active
Other names
NeuroCare Specialty Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON SURETTE JOHNSON (CHIEF EXECUTIVE OFFICER)
(949) 216-5185
Entity
Organization
Contact information
Practice address
120 VANTIS DR STE 300, ALISO VIEJO, CA 92656-2677
(949) 216-5185
(949) 299-2715
Mailing address
120 VANTIS DR STE 300, ALISO VIEJO, CA 92656-2677
(949) 216-5185
(949) 299-2715
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
07/17/2022
Last updated
01/04/2023
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