Organization
CHARTER HEALTH CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE BOAL (COMPLIANCE)
(909) 644-4965
Entity
Organization
Contact information
Practice address
970 S VILLAGE OAKS DR, SUITE 102, COVINA, CA 91724-3626
(626) 915-7490
(626) 915-6050
Mailing address
970 S VILLAGE OAKS DR STE 102, COVINA, CA 91724-0609
(626) 915-7490
(626) 951-7490
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
Primary
HHA08076F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08076F
—
CA
Enumeration date
12/08/2010
Last updated
02/03/2022
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