Organization
EASTBAY HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINA SANTILLAN RN (ADMINISTRATOR)
(707) 428-1473
Entity
Organization
Contact information
Practice address
1710 PENNSYLVANIA AVE, SUITE E, FAIRFIELD, CA 94533-3589
(707) 428-1473
(707) 428-1276
Mailing address
1710 PENNSYLVANIA AVE, SUITE E, FAIRFIELD, CA 94533-3589
(707) 428-1473
(707) 428-1276
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08199F
—
CA
Enumeration date
07/14/2005
Last updated
08/22/2020
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