Organization
DIVINE PEARL HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO DY BUCO (ADMINISTRATOR)
(714) 603-7415
Entity
Organization
Contact information
Practice address
121 N STATE COLLEGE BLVD STE 12A, ANAHEIM, CA 92806-2929
(714) 603-7415
(714) 603-7439
Mailing address
121 N STATE COLLEGE BLVD STE 12A, ANAHEIM, CA 92806-2929
(714) 603-7415
(714) 603-7439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
02/06/2024
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