Organization
VISITING NURSES SENIOR HOME CARE
Active
Other names
Visiting Nurses Senior Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS EDWARD CLARK (INDIVIDUAL OWNER)
(909) 240-4120
Entity
Organization
Contact information
Practice address
13683 CABRILLO CT, FONTANA, CA 92336-3451
(909) 240-4120
Mailing address
13683 CABRILLO CT, FONTANA, CA 92336-3451
(909) 240-4120
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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