Organization
QUALICARE ORANGE COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MERRITT MILLER (EXECUTIVE DIRECTOR/OWNER)
(949) 793-8282
Entity
Organization
Contact information
Practice address
1736 DOHENY WAY, DANA POINT, CA 92629-5927
(949) 793-8282
Mailing address
1736 DOHENY WAY, DANA POINT, CA 92629-5927
(949) 793-8282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3778761
SOC
CA
Enumeration date
05/25/2016
Last updated
03/13/2024
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