Organization
CRESTLINE HOME HEALTH, INC.
Active
Other names
Athena Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN SUKIASYAN (CEO)
(909) 453-3287
Entity
Organization
Contact information
Practice address
600 N MOUNTAIN AVE STE D106, UPLAND, CA 91786-4359
(909) 453-3287
(909) 453-3213
Mailing address
600 N MOUNTAIN AVE STE D106, UPLAND, CA 91786-4359
(909) 453-3287
(909) 453-3213
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
10/01/2019
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