# IAATK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Superior Home Healh
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750834719
- **Authorized official:** MR. PABLO SANDOVAL MARTINEZ (PRESIDENT)
- **Authorized official phone:** (805) 737-4357

## Contact information

- **Practice address:** 320 E WALNUT AVE, LOMPOC, CA 93436-6835
- **Practice address phone:** (805) 737-4357
- **Mailing address:** PO BOX 1, LOMPOC, CA 93438-0001
- **Mailing address phone:** (805) 737-4357
- **Mailing address fax:** (805) 735-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | 424700001 | CA | — |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 03/15/2018