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Organization
VIP HOME HEALTH CARE AGENCY
Active
Organization
VIP HOME HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANBE BERHANE (ADMINISTRATOR)
(626) 293-1339
Entity
Organization
Contact information
Practice address
1224 S GARFIELD AVE, SUITE 204, ALHAMBRA, CA 91801-5062
(626) 293-1339
(626) 293-1340
Mailing address
1224 S GARFIELD AVE, SUITE 204, ALHAMBRA, CA 91801-5062
(626) 293-1339
(626) 293-1340
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57797F
—
CA
Enumeration date
02/28/2006
Last updated
08/22/2020
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