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Organization
ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Active
Organization
ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Active
Other names
PROVIDENCE HOME HEALTH INLAND EMPIRE
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3201 W TEMPLE AVE STE 200, POMONA, CA 91768-3280
(909) 895-8841
(866) 401-1191
Mailing address
3201 W TEMPLE AVE STE 200, POMONA, CA 91768-3280
(909) 895-8841
(866) 401-1191
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57718F
—
CA
Enumeration date
06/18/2007
Last updated
05/16/2025
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