Organization
INNOVATIVE HOME CARE INC
Active
Other names
ComForcare Senior Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MARIE BLASKIE RN, CCM (PRESIDENT)
(760) 321-2945
Entity
Organization
Contact information
Practice address
35325 DATE PALM DR, STE 150, CATHEDRAL CITY, CA 92234-7014
(760) 321-2945
(760) 770-3506
Mailing address
35325 DATE PALM DR, STE 253, CATHEDRAL CITY, CA 92234-7014
(760) 321-2945
(760) 770-3506
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007804
ANTHEM BLUE CROSS
CA
Enumeration date
02/07/2008
Last updated
12/08/2009
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