Organization
CAVALRY HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROWENA ELEGADO (OFFICER)
(626) 473-0395
Entity
Organization
Contact information
Practice address
818 W CAMERON AVE, WEST COVINA, CA 91790-4136
(626) 473-0395
(626) 209-0341
Mailing address
818 W CAMERON AVE, WEST COVINA, CA 91790-4136
(626) 473-0395
(626) 209-0341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550001144
FACILITY LICENSE
CA
Enumeration date
08/19/2009
Last updated
11/12/2020
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