Organization
INTENTIONAL HEALING HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELICIA ALEXANDER RN (OWNER)
(707) 761-5992
Entity
Organization
Contact information
Practice address
455 SAWYER DR, VACAVILLE, CA 95687-7895
(707) 761-5992
Mailing address
455 SAWYER DR, VACAVILLE, CA 95687-7895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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