Organization
IAATK INC
Active
Other names
Superior Home Healh
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO SANDOVAL MARTINEZ (PRESIDENT)
(805) 737-4357
Entity
Organization
Contact information
Practice address
320 E WALNUT AVE, LOMPOC, CA 93436-6835
(805) 737-4357
Mailing address
PO BOX 1, LOMPOC, CA 93438-0001
(805) 737-4357
(805) 735-2410
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
424700001
CA
Other
Enumeration date
07/26/2016
Last updated
03/15/2018
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