Organization
ERA LIFE CARE
Active
Other names
Era Life Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN RENDEROS CEO (CEO)
(800) 861-7996
Entity
Organization
Contact information
Practice address
1109 W SAN BERNARDINO RD SUITE 110, COVINA, CA 91773
(800) 861-7996
Mailing address
1109 W SAN BERNARDINO RD STE 110, COVINA, CA 91722-4165
(800) 861-7996
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150828575
PERSONAL CARE ATTENDANCE
CA
Enumeration date
08/16/2017
Last updated
07/21/2022
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