Organization
HOME CARE SPECTRUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELITO DEMERIS ROAN (CEO)
(949) 667-0932
Entity
Organization
Contact information
Practice address
2973 HARBOR BLVD, SUITE 621, COSTA MESA, CA 92626-3912
(949) 667-0942
Mailing address
2973 HARBOR BLVD, SUITE 621, COSTA MESA, CA 92626-3912
(949) 667-0942
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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