Organization
A PRIME HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL CADDUCIUS VILLALUZ (CEO)
(877) 332-6755
Entity
Organization
Contact information
Practice address
266 MOBIL AVE STE 215, CAMARILLO, CA 93010-6336
(877) 332-6755
(805) 322-7055
Mailing address
266 MOBIL AVE STE 215, CAMARILLO, CA 93010-6336
(877) 332-6755
(805) 322-7055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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