Organization
IDEAL CARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITA TAN GOMEZ (CEO)
(818) 882-1178
Entity
Organization
Contact information
Practice address
21021 DEVONSHIRE ST, SUITE 203, CHATSWORTH, CA 91311-2362
(818) 882-1178
(818) 882-1187
Mailing address
21021 DEVONSHIRE ST, SUITE 203, CHATSWORTH, CA 91311-2362
(818) 882-1178
(818) 882-1187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
10/04/2006
Last updated
11/26/2007
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