# SOUTH BAY DEPENDABLE HOME CAREGIVERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831475458
- **Authorized official:** SONNY ROJAS (ADMINISTRATOR)
- **Authorized official phone:** (424) 240-6035

## Contact information

- **Practice address:** 21512 MAIN ST UNIT 1, CARSON, CA 90745-2008
- **Practice address phone:** (310) 816-9774
- **Mailing address:** 21512 MAIN ST UNIT 1, CARSON, CA 90745-2008
- **Mailing address phone:** (310) 816-9774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 72015A | CA | Yes |

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 10/27/2011
