Organization
HOME HEART & HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENA DORTHIIA JACKSON NURSE (OWNER)
(702) 675-2211
Entity
Organization
Contact information
Practice address
10172 OAKWOOD CIR, CARMEL, CA 93923
(702) 675-2211
Mailing address
10172 OAKWOOD CIR, CARMEL, CA 93923
(702) 675-2211
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
146738955
CA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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