Organization
BUENA VISTA PALLIATIVE CARE & HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA DOCTOR (LCSW/ADMINISTRATOR)
(805) 676-1453
Entity
Organization
Contact information
Practice address
1732 PALMA DR STE 108, VENTURA, CA 93003-5796
(805) 676-1453
(805) 676-1457
Mailing address
1732 PALMA DR STE 108, VENTURA, CA 93003-5796
(805) 676-1453
(805) 676-1457
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
050000273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57165F
—
CA
Enumeration date
08/31/2006
Last updated
01/31/2014
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