Organization
SAGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVAD AGHALOO (PRESIDENT)
(619) 817-9461
Entity
Organization
Contact information
Practice address
39620 WASHINGTON ST STE C, PALM DESERT, CA 92211-4137
(619) 817-9461
Mailing address
39620 WASHINGTON ST STE C, PALM DESERT, CA 92211-4137
(619) 817-9461
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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