Organization
CDK HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONATO JUAN AGUETE ROS (CPO VICE PRESIDENT)
(818) 634-4696
Entity
Organization
Contact information
Practice address
5050 PALO VERDE ST, STE 214, MONTCLAIR, CA 91768-2829
(909) 482-1232
(909) 482-1237
Mailing address
5050 PALO VERDE ST, STE 214, MONTCLAIR, CA 91768-2829
(909) 482-1232
(909) 482-1237
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
25IE00000X
CA
Other
Enumeration date
10/26/2007
Last updated
11/27/2007
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