Organization
JAMECO HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBREEN KHALID (ADMINISTRATOR)
(909) 447-4705
Entity
Organization
Contact information
Practice address
2377 W FOOTHILL BLVD STE 16, UPLAND, CA 91786-3584
(909) 447-4705
(909) 621-6667
Mailing address
2377 W FOOTHILL BLVD STE 16, UPLAND, CA 91786-3584
(909) 447-4705
(909) 621-6667
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08081F
—
CA
Enumeration date
06/15/2005
Last updated
04/22/2022
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