Organization
CASA AZUL ENTERPRISES, INC.
Active
Other names
MISSION WELLNESS HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE RAMON AVENDANO (CEO/CFO)
(805) 526-0070
Entity
Organization
Contact information
Practice address
685 E COCHRAN ST, SUITE 210, SIMI VALLEY, CA 93065-1925
(805) 526-0070
(805) 526-0077
Mailing address
685 E COCHRAN ST, SUITE 210, SIMI VALLEY, CA 93065-1925
(805) 526-0070
(805) 526-0077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
02/29/2008
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