Organization
IMPERIAL VALLEY HOME HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATALINA A SANTILLAN BSBA (ADMINISTRATOR)
(760) 344-9180
Entity
Organization
Contact information
Practice address
630 S BRAWLEY AVE STE 5, BRAWLEY, CA 92227-3107
(760) 344-9180
(760) 344-8181
Mailing address
630 S BRAWLEY AVE STE 5, BRAWLEY, CA 92227-3107
(760) 344-9180
(760) 344-8181
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
080000454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07415F
—
CA
Enumeration date
04/11/2006
Last updated
02/02/2011
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