Organization
CHILDREN'S HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE DEMETRIO RN (DIRECTOR OF NURSING)
(858) 882-7834
Entity
Organization
Contact information
Practice address
8920 ACTIVITY RD, SUITE I, SAN DIEGO, CA 92126-4458
(858) 882-7834
(858) 345-3734
Mailing address
8920 ACTIVITY RD, SUITE I, SAN DIEGO, CA 92126-4458
(858) 882-7834
(858) 345-3734
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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