Organization
A1 QUALITY HOMECARE PROVIDER, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JANET SECADES NICHOLAS (PRESIDENT)
(951) 845-8038
Entity
Organization
Contact information
Practice address
1710 DESERT ALMOND WAY, BEAUMONT, CA 92223-8611
(951) 845-8038
(951) 848-6288
Mailing address
1710 DESERT ALMOND WAY, BEAUMONT, CA 92223-8611
(951) 845-8038
(951) 848-6288
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
03349
CA
Other
Enumeration date
02/16/2007
Last updated
06/13/2008
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