Organization
BRENTON HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH NIVERA (OWNER/MEMBER)
(626) 390-4291
Entity
Organization
Contact information
Practice address
5050 PALO VERDE ST STE 123, MONTCLAIR, CA 91763-2334
(949) 244-9621
Mailing address
5050 PALO VERDE ST STE 123, MONTCLAIR, CA 91763-2334
(949) 244-9621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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