Organization
EMANNUEL CARE HOME HEALTH AGENCY, LLC
Active
Other names
Emannuel Care Home HEalth
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILIAKERE TAWAKE (MEMBER/ADMINISTRATOR)
(510) 885-1926
Entity
Organization
Contact information
Practice address
22245 MAIN ST, SUITE# 104, HAYWARD, CA 94541-4028
(510) 885-1926
(510) 886-8418
Mailing address
22245 MAIN ST, SUITE# 104, HAYWARD, CA 94541-4028
(510) 885-1926
(510) 886-8418
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550001874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550001874
STATE OF CA, DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
03/01/2011
Last updated
07/30/2013
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