Organization
A-1 HOME HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE G. FORBES (VICE PRESIDENT)
(949) 498-1700
Entity
Organization
Contact information
Practice address
536 N EL CAMINO REAL, SAN CLEMENTE, CA 92672-4719
(949) 498-1700
(949) 498-8206
Mailing address
536 N EL CAMINO REAL, SAN CLEMENTE, CA 92672-4719
(949) 498-1700
(949) 498-8206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33272782
STATE ID #
CA
05
—
ZZZ81736Z
—
CA
Enumeration date
04/13/2006
Last updated
12/05/2011
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