Organization
HOME HEALTH INTEGRATED SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AEGEAN JAIME CAROLINO (PRESIDENT /CEO)
(818) 558-6685
Entity
Organization
Contact information
Practice address
704 S MAIN ST, BURBANK, CA 91506-2529
(818) 558-6685
(818) 558-6718
Mailing address
704 S MAIN ST, BURBANK, CA 91506-2529
(818) 558-6685
(818) 558-6718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980000859
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57473G
—
CA
Enumeration date
01/11/2006
Last updated
11/02/2023
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