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Organization
PURITY HOME HEALTH SERVICES
Active
Organization
PURITY HOME HEALTH SERVICES
Active
Other names
Purity Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN SANTOS LARSON (ADMINISTRATOR)
(562) 863-5652
Entity
Organization
Contact information
Practice address
12631 IMPERIAL HWY, SUITE D118, SANTA FE SPRINGS, CA 90670-4710
(562) 863-5652
(562) 929-3403
Mailing address
12631 IMPERIAL HWY, SUITE D118, SANTA FE SPRINGS, CA 90670-4710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000331
LICENSE
CA
Enumeration date
04/17/2007
Last updated
10/18/2012
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