Organization
AT HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA SANTA MARIA TAMISIN (CEO)
(760) 880-2227
Entity
Organization
Contact information
Practice address
14123 WIMBLETON DR, VICTORVILLE, CA 92395-4338
(760) 880-2227
(760) 951-4973
Mailing address
14123 WIMBLETON DR, VICTORVILLE, CA 92395-4338
(760) 880-2227
(760) 951-4973
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
BSL07-01942
CA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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