Organization
CP HIGH DESERT S-CA HH, LLC
Active
Other names
Providence at Home with Compassus Home Health, High Desert
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI WARREN (CHIEF EXECUTIVE OFFICER)
(310) 480-2982
Entity
Organization
Contact information
Practice address
17051 MAIN ST, HESPERIA, CA 92345-6055
(760) 956-4119
Mailing address
17051 MAIN ST, HESPERIA, CA 92345-6055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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