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Organization
REGAL 9 HOME CARE AGENCY LIMITED LIABILITY CO
Active
Organization
REGAL 9 HOME CARE AGENCY LIMITED LIABILITY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ANCHANG (ADMINISTRATOR)
(310) 382-4567
Entity
Organization
Contact information
Practice address
7828 HAVEN AVE STE 211, RANCHO CUCAMONGA, CA 91730-3049
(310) 382-4567
(202) 291-4479
Mailing address
7828 HAVEN AVE STE 211, RANCHO CUCAMONGA, CA 91730-3049
(310) 382-4567
(202) 291-4479
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201931210315
—
CA
Enumeration date
02/26/2020
Last updated
02/26/2020
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