Organization
ANCESTRAL HOME HEALTH CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA THERESITA MACARANAS BENITEZ (OFFICE MANAGER)
(818) 789-5888
Entity
Organization
Contact information
Practice address
15335 MORRISON ST STE 218, SHERMAN OAKS, CA 91403-1599
(818) 789-5888
(818) 789-0561
Mailing address
15335 MORRISON ST STE 218, SHERMAN OAKS, CA 91403-1599
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001129
CA
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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