Organization
CORRIS INC
Active
Other names
Reach Out Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
FIRUZA KHAYTENOVA (PRESIDENT)
(831) 293-8447
Entity
Organization
Contact information
Practice address
200 CLOCK TOWER PL STE D206, CARMEL, CA 93923-8761
(831) 293-8447
(831) 250-7922
Mailing address
PO BOX 222440, CARMEL, CA 93922-2440
(831) 293-8447
(831) 250-7922
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
274700018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274700018
NON-MEDICAL PERSONAL CAREGIVING SERVICES
CA
Enumeration date
06/07/2018
Last updated
06/07/2018
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