Organization
EMERALD CORPORATION
Active
Other names
ST. MARTIN HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIDA F FAJAYAN RN (PRESIDENT)
(909) 627-0408
Entity
Organization
Contact information
Practice address
13791 ROSWELL AVE STE E, CHINO, CA 91710-5469
(909) 627-0408
(909) 628-4665
Mailing address
13791 ROSWELL AVE STE E, CHINO, CA 91710-5469
(909) 627-0408
(909) 628-4665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058288
MEDICARE PROVIDER NUMBER
CA
Enumeration date
01/03/2014
Last updated
01/03/2014
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