Organization
AGENCY PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DOLL (CEO)
(888) 838-2115
Entity
Organization
Contact information
Practice address
2173 SALK AVE STE 250, CARLSBAD, CA 92008-7383
(888) 838-2115
Mailing address
15205 YORK ST, TUSTIN, CA 92782-1815
(888) 838-2115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
CA
Other
Enumeration date
08/10/2015
Last updated
06/09/2016
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