Organization
ANTELOPE VALLEY HOME HEALTH AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANNA PONOMARENKO RN (CEO)
(661) 407-2520
Entity
Organization
Contact information
Practice address
445 W PALMDALE BLVD STE L, PALMDALE, CA 93551-4509
(661) 407-2520
(661) 480-5090
Mailing address
445 W PALMDALE BLVD STE L, PALMDALE, CA 93551-4509
(661) 407-2520
(661) 480-5090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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