Organization
CARELINE HOMECARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER SAN AGUSTIN MONTINOLA (PRESIDENT)
(949) 215-9130
Entity
Organization
Contact information
Practice address
23591 EL TORO RD, SUITE 265, LAKE FOREST, CA 92630-4774
(949) 215-9130
(949) 305-9752
Mailing address
23591 EL TORO RD, SUITE 265, LAKE FOREST, CA 92630-4774
(949) 215-9130
(949) 305-9752
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
304700038
CA
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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