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Organization
PROCARE HOME HEALTH AGENCY INC
Active
Organization
PROCARE HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVADOR LOLARGA ABIERA D.P.T., P.T. (PRESIDENT/CEO)
(323) 888-6788
Entity
Organization
Contact information
Practice address
1493 N MONTEBELLO BLVD, SUITE 203, MONTEBELLO, CA 90640-2586
(323) 888-6788
(323) 888-6780
Mailing address
1493 N MONTEBELLO BLVD, SUITE 203, MONTEBELLO, CA 90640-2588
(323) 888-6788
(323) 888-6780
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434714
JCAHO ACCREDITATION
CA
01
—
550000919
CDPH FACILITY LICENSE
CA
Enumeration date
07/30/2007
Last updated
04/24/2013
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