Organization
IMMACULATE HEART OF MARY HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GO (ADMINISTRATOR)
(562) 920-9868
Entity
Organization
Contact information
Practice address
14329 WOODRUFF AVENUE, SUITE A, BELLFLOWER, CA 90706
(562) 920-9868
(562) 867-6860
Mailing address
14329 WOODRUFF AVENUE, SUITE A, BELLFLOWER, CA 90706
(562) 920-9868
(562) 867-6860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08008F
—
CA
Enumeration date
06/11/2006
Last updated
01/10/2025
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