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Organization
AQUACARE HOME HEALTH INC
Active
Organization
AQUACARE HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA TAN (PRESIDENT)
(818) 409-8904
Entity
Organization
Contact information
Practice address
210 N CENTRAL AVENUE, SUITE 101, GLENDALE, CA 91203
(818) 409-8904
(818) 409-8927
Mailing address
210 N CENTRAL AVENUE, SUITE 101, GLENDALE, CA 91203
(818) 409-8904
(818) 409-8927
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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