Organization
YOUR HOME ASSISTANT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA CUELLAR (CEO)
(916) 970-9001
Entity
Organization
Contact information
Practice address
2228 LONGPORT CT STE 130, ELK GROVE, CA 95758-7180
(916) 970-9001
(916) 970-9002
Mailing address
9924 LOUSADA DR, ELK GROVE, CA 95757-6347
(916) 970-9001
(916) 970-9002
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/24/2021
Last updated
08/25/2023
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