Organization
PROFESSIONAL ASSISTANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY ELIZABETH BALTES BUSINESS HEALTH CARE (OWNER/DIRECTOR)
(949) 371-3411
Entity
Organization
Contact information
Practice address
30025 ALICIA PKWY # 199, LAGUNA NIGUEL, CA 92677-2090
(949) 371-3411
Mailing address
30025 ALICIA PKWY # 199, LAGUNA NIGUEL, CA 92677-2090
(949) 371-3411
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
20116268670
CA
251E00000X
Home Health Agency
20116268670
CA
251V00000X
Voluntary or Charitable Agency
20116268670
CA
253Z00000X
In Home Supportive Care Agency
Primary
20116268670
CA
347C00000X
Private Vehicle
F3035105
CA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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