Organization
SOUTH BAY DEPENDABLE HOME CAREGIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNY ROJAS (ADMINISTRATOR)
(424) 240-6035
Entity
Organization
Contact information
Practice address
21512 MAIN ST UNIT 1, CARSON, CA 90745-2008
(310) 816-9774
Mailing address
21512 MAIN ST UNIT 1, CARSON, CA 90745-2008
(310) 816-9774
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
72015A
CA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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