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Organization

HOMEAVENUE INC.

Active
Other names
Home Avenue Adult Day Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NERVILLA AGNES PINEDA R.N. (PRESIDENT)
(562) 927-7660
Entity
Organization

Contact information

Practice address
8114 TELEGRAPH RD, DOWNEY, CA 90240-2140
(562) 927-7660
(562) 927-6455
Mailing address
8114 TELEGRAPH RD, DOWNEY, CA 90240-2140
(562) 927-7660
(562) 927-6455

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ADU70356F
CA
Enumeration date
09/06/2006
Last updated
08/22/2020
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