MEDICARE: DOMUS CURA LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1104548841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOMUS CURA LLC

Provider Business Mailing Address
First Line	:	1028 GIRARD RD APT 422
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94129-6506
Country	:	US
Telephone Number	:	916-832-5803
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 GIRARD RD APT 422
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94129-6506
Country	:	US
Telephone Number	:	916-832-5803
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAWN REESE
Credential	:
Telephone Number	:	916-832-5803

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	09/19/2022

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Directions to “DOMUS CURA LLC ” Practice Location

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