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Organization
INDEPENDENCE HOME CARE, INC.
Active
Organization
INDEPENDENCE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JOSEPH NOWELL C.N.A., C.M.A. (PRESIDENT AND C.E.O.)
(949) 338-2587
Entity
Organization
Contact information
Practice address
4500 CAMPUS DR, SUITE #318, NEWPORT BEACH, CA 92660-1814
(949) 357-6121
(949) 209-1981
Mailing address
4500 CAMPUS DR, SUITE #318, NEWPORT BEACH, CA 92660-1814
(949) 357-6121
(949) 209-1981
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
BT30035858
CA
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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