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Organization
PENNYROYAL CARE
Active
Organization
PENNYROYAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVY ROSE HUNTER R.N. (CHEIF EXECUTIVE OFFICER)
(707) 812-6683
Entity
Organization
Contact information
Practice address
150 TAN OAK AVE, CAMP MEEKER, CA 95419
(707) 812-6683
(707) 294-6289
Mailing address
PO BOX 131, CAMP MEEKER, CA 95419-0131
(707) 812-6683
(707) 294-6289
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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