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Organization
MOONRIZE HOME HEALTH SERVICES
Active
Organization
MOONRIZE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PHAM RN (CEO)
(714) 585-9305
Entity
Organization
Contact information
Practice address
9778 KATELLA AVE STE 114, ANAHEIM, CA 92804-6446
(714) 585-9305
Mailing address
9778 KATELLA AVE STE 117, ANAHEIM, CA 92804-6446
(714) 585-9305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
11/22/2024
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