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NPI Code Detail

MEDICARE: TRI COUNTY HOME HEALTH

MEDICARE: TRI COUNTY HOME HEALTH
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1922576255
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI COUNTY HOME HEALTH
Provider Business Mailing Address
First Line : 5300 CALIFORNIA AVE STE 200A
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-1642
Country : US
Telephone Number : 661-889-2281
Fax Number :
Provider Business Practice Location Address
First Line : 5300 CALIFORNIA AVE STE 200A
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-1642
Country : US
Telephone Number : 661-889-2281
Fax Number :
Authorized Official
Title or Position : PRESIDENT / CEO
Name : LEONARDO MENDEZ
Credential :
Telephone Number : 661-889-2281
Provider Enumeration Date : 11/05/2018
Last Update Date : 11/05/2018

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Directions to “TRI COUNTY HOME HEALTH ” Practice Location

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