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NPI Code Detail

MEDICARE: COMPANION CARE SERVICES ENTERPRISES INC

MEDICARE: COMPANION CARE SERVICES ENTERPRISES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency

General Provider Information

NPI Number : 1538316260
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPANION CARE SERVICES ENTERPRISES INC
Provider Business Mailing Address
First Line : 5030 KATELLA AVE
Second Line : SUITE 206
City : LOS ALAMITOS
State : CA
Zip : 90720-2819
Country : US
Telephone Number : 562-594-4751
Fax Number : 562-431-3581
Provider Business Practice Location Address
First Line : 5030 KATELLA AVE
Second Line : SUITE 206
City : LOS ALAMITOS
State : CA
Zip : 90720-2819
Country : US
Telephone Number : 562-594-4751
Fax Number : 562-431-3581
Authorized Official
Title or Position : DIRECTOR OF SERVICES
Name : MS. VIRGINIA SOLANCHO
Credential :
Telephone Number : 562-594-4751
Provider Enumeration Date : 08/25/2008
Last Update Date : 08/25/2008

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Directions to “COMPANION CARE SERVICES ENTERPRISES INC ” Practice Location

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