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Organization

CQI HOMECARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NENA BASICAL VILLANIA RN (CEO ADMINISTRATOR)
(818) 549-4830
Entity
Organization

Contact information

Practice address
520 E WILSON AVE, STE 230, GLENDALE, CA 91206
(818) 549-4830
(818) 549-4832
Mailing address
520 E WILSON AVE, STE 230, GLENDALE, CA 91206
(818) 549-4830
(818) 549-4832

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
CA

Other

Enumeration date
12/02/2005
Last updated
08/22/2020
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