Organization
AMADA HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD BRADSHAW FOTHERINGHAM (PRESIDENT)
(714) 557-5577
Entity
Organization
Contact information
Practice address
575 ANTON BLVD, SUITE 300, COSTA MESA, CA 92626-7169
(714) 557-5577
(714) 557-5578
Mailing address
575 ANTON BLVD, SUITE 300, COSTA MESA, CA 92626-7169
(714) 557-5577
(714) 557-5578
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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