Organization
MANAGED HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRANAV PATEL (OWNER)
(949) 263-4700
Entity
Organization
Contact information
Practice address
4100 LATHAM ST, SUITE I, RIVERSIDE, CA 92501-1733
(951) 341-0782
(951) 274-3638
Mailing address
17818 BELSHIRE AVE, ARTESIA, CA 90701-4234
(562) 676-6108
(951) 274-3638
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
250000505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07413F
—
CA
Enumeration date
02/08/2007
Last updated
03/19/2024
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