Organization
PACIFIC HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LAUREN PAIGE HICKMAN (OWNER)
(818) 649-7511
Entity
Organization
Contact information
Practice address
655 N CENTRAL AVE FL 17, GLENDALE, CA 91203-1439
(818) 649-7511
Mailing address
655 N CENTRAL AVE FL 17, GLENDALE, CA 91203-1439
(818) 649-7511
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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