Organization
SG HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA HREN (DIRECTOR)
(949) 474-2050
Entity
Organization
Contact information
Practice address
5550 SKYLANE BLVD STE G, SANTA ROSA, CA 95403-1072
(707) 502-3203
(707) 540-6019
Mailing address
345 MCCORMICK AVE, COSTA MESA, CA 92626-3422
(949) 474-2050
(949) 474-4460
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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