Organization
CARE FROM THE HEART IN HOME SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE TUCKER LVN (OWNER, CASE MANAGER)
(831) 476-8316
Entity
Organization
Contact information
Practice address
3141 PAUL SWEET ROAD, SANTA CRUZ, CA 95065
(831) 476-8316
Mailing address
3141 PAUL SWEET ROAD, SANTA CRUZ, CA 95065
(831) 476-8316
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444700004
STATE OF CALIFORNIA SOCIAL SERVICES
CA
Enumeration date
07/10/2019
Last updated
07/10/2019
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