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Organization
NEW AGE ENTERPRISES
Active
Organization
NEW AGE ENTERPRISES
Active
Other names
SGV Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LIMON (REGIONAL MANAGER)
(323) 613-6081
Entity
Organization
Contact information
Practice address
817 W BEVERLY BLVD STE 206, MONTEBELLO, CA 90640-4265
(323) 278-0995
(323) 297-5266
Mailing address
817 W BEVERLY BLVD, SUITE #206, MONTEBELLO, CA 90640-4251
(323) 278-0995
(323) 297-5266
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550002837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550002837
STATE LICENSE
CA
Enumeration date
10/24/2014
Last updated
12/07/2022
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