# GREAT VALLEY HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREAT VALLEY HOME HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902448368
- **Authorized official:** MR. FERDINAND LEE (PRESIDENT)
- **Authorized official phone:** (209) 229-8454

## Contact information

- **Practice address:** 2730 NAGLEE RD STE 200, TRACY, CA 95304-7309
- **Practice address phone:** (209) 229-8454
- **Mailing address:** 2730 NAGLEE RD STE 200, TRACY, CA 95304-7309
- **Mailing address phone:** (209) 229-8454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2019
- **Last updated:** 11/20/2025