Organization
BRADBOURNE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL DE CASTRO RN (ADMINISTRATOR)
(626) 814-0200
Entity
Organization
Contact information
Practice address
1109 W SAN BERNARDINO RD STE 230, COVINA, CA 91722-4166
(626) 814-0200
(626) 814-0225
Mailing address
1109 W SAN BERNARDINO RD STE 230, COVINA, CA 91722-4166
(626) 814-0200
(626) 814-0225
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08217F
—
CA
Enumeration date
03/09/2007
Last updated
01/08/2025
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