Organization
INTERCAPITAL INC.
Active
Other names
Omnihealth Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PINEDA (OWNER)
(671) 653-1408
Entity
Organization
Contact information
Practice address
761 S MARINE CORPS DR STE A10, TAMUNING, GU 96913-3523
(671) 653-1408
(671) 989-9140
Mailing address
761 S MARINE CORPS DR STE A10, TAMUNING, GU 96913-3523
(671) 653-1408
(671) 989-9140
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
13-201800921-001
GU
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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