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Organization

SHIRELL'S HOME CARE CHANGING LIVES LLC

Active
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Organization

SHIRELL'S HOME CARE CHANGING LIVES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRELL TIFFANY NEWSON CSCM (CEO)
(760) 669-9707
Entity
Organization

Contact information

Practice address
9055 SANTA FE AVE E, E 45, HESPERIA, CA 92345-7968
(877) 664-8588
(760) 851-0995
Mailing address
9055 SANTA FE AVE E, E 45, HESPERIA, CA 92345-7968
(877) 664-8588
(760) 851-0995

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—

Other

Enumeration date
08/19/2013
Last updated
10/22/2013
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