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Organization
STANDARD HOMEHEALTH
Active
Organization
STANDARD HOMEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARYAM YOHANNES (D.O.N.)
(510) 798-4778
Entity
Organization
Contact information
Practice address
1933 DAVIS ST, STE 318, SAN LEANDRO, CA 94577-1260
(510) 798-4778
Mailing address
1933 DAVIS STREET, STE 318, SAN LEANDRO, CA 94577
(510) 798-4778
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550002170
CA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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