Organization
SENIOR HOME CAREGIVERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DAVIS (VICE PRESIDENT)
(909) 835-5626
Entity
Organization
Contact information
Practice address
1003 E COOLEY DR STE 203, COLTON, CA 92324-3907
(909) 867-7787
(909) 872-1168
Mailing address
1003 E COOLEY DR STE 203, COLTON, CA 92324-3907
(909) 867-7787
(909) 872-1168
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DSS-364700007
LICENSE
CA
Enumeration date
12/02/2021
Last updated
12/02/2021
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