Organization
LEMUEL F & GENA M IGNACIO SUPPORT STAFF SERVICES
Active
Other names
Pacific Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEMUEL F IGNACIO (ADMINISTRATOR)
(408) 971-4151
Entity
Organization
Contact information
Practice address
1168 PARK AVE, SAN JOSE, CA 95126-2913
(408) 971-4151
(408) 971-3429
Mailing address
1168 PARK AVE, SAN JOSE, CA 95126-2913
(408) 971-4151
(408) 971-3429
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
070000304
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57441F
—
CA
Enumeration date
07/18/2006
Last updated
06/25/2008
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