# FIJI PRIME IN-HOME CARE

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

## Provider details

- **NPI number:** 1649045733
- **Authorized official:** MS. TITILIA LEDUA (OWNER)
- **Authorized official phone:** (707) 889-9505

## Contact information

- **Practice address:** 725 FARMERS LN STE 6, SANTA ROSA, CA 95405-6742
- **Practice address phone:** (707) 889-9505
- **Practice address fax:** (707) 852-2113
- **Mailing address:** 725 FARMERS LN STE 6, SANTA ROSA, CA 95405-6742
- **Mailing address phone:** (707) 889-9505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2023
- **Last updated:** 11/17/2023