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Organization
PROMONTORY HOME HEALTH SD LLC
Active
Organization
PROMONTORY HOME HEALTH SD LLC
Active
Other names
Promontory Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BRAZELTON (ADMINISTRATOR)
(619) 334-2686
Entity
Organization
Contact information
Practice address
225 W MADISON AVE, SUITE 3, EL CAJON, CA 92020-3454
(619) 334-2686
(619) 334-3765
Mailing address
225 W MADISON AVE, SUITE 3, EL CAJON, CA 92020-3454
(619) 334-2686
(619) 334-3765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
06/05/2015
Last updated
10/11/2016
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