Organization
ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Active
Other names
PROVIDENCE HOME INFUSION ORANGE COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
200 W CENTER STREET PROMENADE STE 100A, ANAHEIM, CA 92805-3960
(844) 983-0647
Mailing address
PO BOX 31001-1965, PASADENA, CA 91110-9165
(714) 712-9500
(714) 712-9535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
05/16/2025
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