Organization
INDEPENDENCE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JOSEPH NOWELL C.N.A., C.M.A. (PRESIDENT AND C.E.O.)
(949) 338-2587
Entity
Organization
Contact information
Practice address
4500 CAMPUS DR, SUITE #318, NEWPORT BEACH, CA 92660-1814
(949) 357-6121
(949) 209-1981
Mailing address
4500 CAMPUS DR, SUITE #318, NEWPORT BEACH, CA 92660-1814
(949) 357-6121
(949) 209-1981
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
BT30035858
CA
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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