Organization
DESIRE HOME CARE, INC
Active
Other names
Desire Home Care LLC, Desire Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
YENEOCHIA IKHELOWA (ADMINISTRATOR)
(951) 376-8018
Entity
Organization
Contact information
Practice address
10759 MAGNOLIA AVE, STE J, RIVERSIDE, CA 92505-3082
(951) 376-8018
Mailing address
3742 TIBBETTS ST STE 203, RIVERSIDE, CA 92506-2641
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376937276
NPPES
CA
Enumeration date
09/24/2015
Last updated
01/30/2019
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