Organization
ENMED, LLC
Active
Other names
QUALITY HOME HEALTH AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA KELLEY (ADMINISTRATOR)
(909) 390-3293
Entity
Organization
Contact information
Practice address
4375 E LOWELL ST STE I, ONTARIO, CA 91761-2227
(909) 390-3293
(909) 390-3296
Mailing address
4375 E LOWELL ST STE I, ONTARIO, CA 91761-2227
(909) 390-3293
(909) 390-3296
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08148F
—
CA
Enumeration date
01/02/2007
Last updated
08/22/2020
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