Organization
HEALTHY LIVING AT HOME - EL CENTRO, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BLISS (MANAGING MEMBER)
(760) 545-0330
Entity
Organization
Contact information
Practice address
502 W ATEN RD, SUITE 104, IMPERIAL, CA 92251-9423
(760) 545-0330
Mailing address
502 W ATEN RD, SUITE 104, IMPERIAL, CA 92251-9423
(760) 545-0330
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
09/15/2015
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