Organization
CP S-CA PRIVATE DUTY, LLC
Active
Other names
Providence at Home with Compassus Home Care, So Cal
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI WARREN (CHIEF EXECUTIVE OFFICER)
(310) 480-2982
Entity
Organization
Contact information
Practice address
200 W CENTER STREET PROMENADE STE 200A, ANAHEIM, CA 92805-3960
(866) 279-9991
Mailing address
200 W CENTER STREET PROMENADE STE 200A, ANAHEIM, CA 92805-3960
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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