Organization
FIJI PRIME IN-HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TITILIA LEDUA (OWNER)
(707) 889-9505
Entity
Organization
Contact information
Practice address
725 FARMERS LN STE 6, SANTA ROSA, CA 95405-6742
(707) 889-9505
(707) 852-2113
Mailing address
725 FARMERS LN STE 6, SANTA ROSA, CA 95405-6742
(707) 889-9505
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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