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Organization

COMPANIONSHIP HEALTH PROVIDER, INC

Active
Other names
CoHP
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JETT ASINAS MERCADO MPA (CEO)
(707) 853-7042
Entity
Organization

Contact information

Practice address
2608 SPRINGS RD, SUITE B, VALLEJO, CA 94591-5713
(707) 534-7772
Mailing address
2608 SPRINGS RD, SUITE B, VALLEJO, CA 94591-5713
(707) 534-7772

Taxonomy

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

Other

Enumeration date
04/23/2008
Last updated
04/23/2008
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