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Organization
RESTORA HOME HEALTH, INC.
Active
Organization
RESTORA HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES V. WILLIAMS (CEO)
(949) 533-0367
Entity
Organization
Contact information
Practice address
1317 W. FOOTHILL BLVD., SUITE 130, UPLAND, CA 91786-3684
(909) 931-0710
(909) 931-0395
Mailing address
1317 W. FOOTHILL BLVD., SUITE 130, UPLAND, CA 91786-3684
(909) 931-0710
(909) 931-0395
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08029F
—
CA
Enumeration date
08/12/2005
Last updated
05/27/2009
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