Organization
ATHOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADOLOR KING MADOLOR KING, RN,WOC (PRESIDENT)
(626) 589-1349
Entity
Organization
Contact information
Practice address
18002 IRVINE BLVD STE 208, TUSTIN, CA 92780-3366
(626) 589-1349
Mailing address
18002 IRVINE BLVD STE 208, TUSTIN, CA 92780-3366
(626) 589-1349
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
06/24/2020
Last updated
06/14/2024
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