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Organization

KEYSTONE HOME HEALTH CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINE GO ANTONIO (PRESIDENT)
(310) 651-4754
Entity
Organization

Contact information

Practice address
638 S VAN NESS AVE, A-3, LOS ANGELES, CA 90005-3201
(310) 651-4754
Mailing address
638 S VAN NESS AVE, A-3, LOS ANGELES, CA 90005-3201
(310) 651-4754

Taxonomy

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

Other

Enumeration date
09/18/2014
Last updated
01/21/2015
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