Organization
SUPERIOR HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR FERNANDEZ-MANSILLA (CFO)
(760) 505-1366
Entity
Organization
Contact information
Practice address
2182 S EL CAMINO REAL STE 205, OCEANSIDE, CA 92054-6207
(760) 814-9930
(760) 400-0976
Mailing address
PO BOX 2295, CARLSBAD, CA 92018-2295
(760) 814-9930
(760) 400-0976
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374700087
DEPARTMENT OF SOCIAL SERVICES, HOME CARE DIVISION
CA
Enumeration date
12/11/2020
Last updated
12/11/2020
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