Organization
DECARMO WHOLESALE LLC
Active
Other names
TRAVELING COMPANIONS
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CROWELL (OWNER)
(909) 371-9834
Entity
Organization
Contact information
Practice address
1281 N STATE ST UNIT A569, SAN JACINTO, CA 92583-6313
(909) 371-9834
Mailing address
1281 N STATE ST UNIT 569, SAN JACINTO, CA 92583-6313
(909) 371-9834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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