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Organization
SPECTRUM HEALTHCARE SERVICES
Active
Organization
SPECTRUM HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENTURIS P SHAW (PRESIDENT)
(949) 813-2905
Entity
Organization
Contact information
Practice address
22165 DEBRA ST, LAKE FOREST, CA 92630-2330
(949) 813-2905
Mailing address
22165 DEBRA ST, LAKE FOREST, CA 92630-2330
(949) 813-2905
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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