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PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

Home Health Agencies

Burbank, California

Provider NPI: 1164429684

Organization Information:
Organization Name:  PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA


Practice Location:
3413 W PACIFIC AVE STE 201 BURBANK, CA 91505 US
Tel: 818-953-4451  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251E00000XAgencies
Home Health
CA980000499

Other Provider Identifiers:

IssuerNumberStateType
HHA07627FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




HOME HEALTH JOBS CA - Page 1



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