Organization
PRISTINE HOME CARE
Active
Other names
LIFELINE PRIVATE DUTY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH J HATCH RN (DIRECTOR OF PT CARE SERVICES)
(626) 447-9603
Entity
Organization
Contact information
Practice address
30 E SANTA CLARA ST STE H, ARCADIA, CA 91006-3235
(626) 447-9603
(626) 447-9657
Mailing address
30 E SANTA CLARA ST STE H, ARCADIA, CA 91006-3235
(626) 447-9603
(626) 447-9657
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08128F
—
CA
Enumeration date
04/19/2007
Last updated
08/22/2020
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