Organization
HEALTH TO HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE STANLEY WILDISH (SECRETARY/TREASURER)
(951) 368-0428
Entity
Organization
Contact information
Practice address
5750 DIVISION ST, SUITE 209, RIVERSIDE, CA 92506-3269
(951) 368-0428
(951) 368-0429
Mailing address
5750 DIVISION ST STE 209, RIVERSIDE, CA 92506-3269
(951) 368-0428
(951) 368-0429
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A65963
CA
Other
Enumeration date
03/30/2015
Last updated
03/31/2015
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