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Organization

ALLISTER LLC

Active
Other names
Allister Homecare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY JOHNSON (OWNER)
(916) 292-9184
Entity
Organization

Contact information

Practice address
12344 FAIR OAKS BLVD STE D, FAIR OAKS, CA 95628-2546
(916) 292-9184
Mailing address
12344 FAIR OAKS BLVD STE D, FAIR OAKS, CA 95628-2546
(916) 292-9184

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
344700064
NA
CA
Enumeration date
01/11/2019
Last updated
01/11/2019
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