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Organization

AG HOME HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW NELSON VITUG (PRESIDENT/CEO)
(562) 362-6008
Entity
Organization

Contact information

Practice address
12631 IMPERIAL HWY, BLDG D SUITE 126B, SANTA FE SPRINGS, CA 90670
(562) 362-6008
Mailing address
12631 IMPERIAL HWY, BLDG D SUITE 126B, SANTA FE SPRINGS, CA 90670
(562) 362-6008

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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