Organization
VISITING ANGELS SANTA ROSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN H. CREMIN LCSW (DIRECTOR)
(707) 528-3801
Entity
Organization
Contact information
Practice address
1120 MONTGOMERY DR, SANTA ROSA, CA 95405-4815
(707) 528-3801
Mailing address
1120 MONTGOMERY DR, SANTA ROSA, CA 95405-4815
(707) 528-3801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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