Organization Name: | ARISE HOME CARE CORP |
NPI Number: | 1003913765 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET ANN MARCELIN (ADMINISTRATOR) |
Mailing Address: | 1420 N Claremont Blvd Unite 203b Claremont |
State: | CA US |
Postal Code: | 917113528 |
Phone Number: | 9096252502 |
Fax Number: | 9096252582 |
NPI Enumeration Date: | 09/17/2006 |
NPI Last Update Date: | 07/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 980001463 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |