Healthcare Provider Details
I. General information
NPI: 1740684042
Provider Name (Legal Business Name): A CARING TOUCH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/15/2014
Last Update Date: 10/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3025 BEYER BLVD STE E102
SAN DIEGO CA
92154-3432
US
IV. Provider business mailing address
3025 BEYER BLVD SUITE E102
SAN DIEGO CA
92154
US
V. Phone/Fax
- Phone: 619-344-0528
- Fax:
- Phone: 619-344-0528
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAVIER
HERRERA
JR.
Title or Position: PRESIDENT
Credential:
Phone: 619-250-1703