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Organization

CALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN JAE CAVE RN (CEO, ADMINISTRATOR, DPCS)
(209) 408-8022
Entity
Organization

Contact information

Practice address
3600 SISK RD STE 11, MODESTO, CA 95356-0535
(209) 408-8022
(209) 408-8294
Mailing address
717 W ATHERTON DR APT 231, MANTECA, CA 95337-9531
(510) 386-3193

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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