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Organization

CROWN HOME HEALTH AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER MENOR (CEO)
(442) 477-8172
Entity
Organization

Contact information

Practice address
506 W GRAHAM AVE STE 206, LAKE ELSINORE, CA 92530-3667
(951) 610-7364
(858) 808-2891
Mailing address
1815 E WORKMAN AVE STE F, WEST COVINA, CA 91791-1423

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/12/2021
Last updated
08/20/2024
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