Organization
ASEMOTA CORPORATION
Active
Other names
MIRACLE HOME HEALTH AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR ASEMOTA (PRESIDENT)
(909) 991-7977
Entity
Organization
Contact information
Practice address
4959 PALO VERDE ST, SUITE 206B, MONTCLAIR, CA 91763-2331
(909) 991-7977
Mailing address
4959 PALO VERDE ST, SUITE 206B, MONTCLAIR, CA 91763-2331
(909) 991-7977
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/10/2011
Last updated
08/15/2011
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