Organization
INTENSIVE HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERRY THACKER (ASST. ADMIN. / CEO)
(909) 595-8383
Entity
Organization
Contact information
Practice address
1163 FAIRWAY DR, SUITE 105, CITY OF INDUSTRY, CA 91789-2846
(909) 595-8383
(909) 595-4450
Mailing address
21671 GATEWAY CENTER DR, SUITE 104, DIAMOND BAR, CA 91765
(909) 595-8383
(909) 595-4450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08213F
—
CA
Enumeration date
08/09/2005
Last updated
05/23/2017
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