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Organization

ETHICAL HOME HEALTH CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FERNANDO FLORES (CEO CFO)
(909) 946-9000
Entity
Organization

Contact information

Practice address
550 N EUCLID AVE, UPLAND, CA 91786-4734
(909) 946-9000
(909) 981-0400
Mailing address
550 N EUCLID AVE, UPLAND, CA 91786-4734
(909) 946-9000
(909) 981-0400

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000670
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05-8026
MEDICARE PROVIDER
CA
01
240000670
HHA LICENSE
CA
01
240001549
ACLAIMS #
01
406364346
OSHPD ID
CA
05
HHA08026G
CA
Enumeration date
11/23/2005
Last updated
01/09/2017
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