Organization
AT HOME SUPPORT SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J JUSTIN TUVILLA (OWNER)
(650) 270-0574
Entity
Organization
Contact information
Practice address
715 EL CAMINO REAL STE 205, SAN BRUNO, CA 94066-3439
(650) 585-4447
(650) 989-4480
Mailing address
715 EL CAMINO REAL STE 205, SAN BRUNO, CA 94066-3439
(650) 585-4447
(650) 989-4480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
05/15/2020
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