Organization Name: | ADDUS HEALTHCARE |
NPI Number: | 1003879552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE KUMARICH (NATIONAL CONTRACTS) |
Mailing Address: | 1800 Sutter St Ste 360 Concord |
State: | CA US |
Postal Code: | 94520 |
Phone Number: | 9256714100 |
Fax Number: | 9253562889 |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |