Crestline Home Health, INC.
Home Health in Upland, CA. Organization (NPI-2).
NPI number1194240002
StatusActive
Last updated in NPPESOct 1, 2019
Details
- NPI
- 1194240002
- Entity type
- Organization (NPI-2)
- Legal business name
- Crestline Home Health, INC.
- Organization subpart
- No
- Enumeration date
- Aug 11, 2017
- Last updated
- Oct 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- Athena Home Health (Doing Business As)
Practice location
600 N Mountain Ave Ste D106Upland, CA 91786-4359
Phone 909-453-3287 · Fax 909-453-3213
Mailing address
600 N Mountain Ave Ste D106Upland, CA 91786-4359
Phone 909-453-3287 · Fax 909-453-3213
Authorized official
Ruben Sukiasyan
Ceo
9094533287
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All 72 Home Health Agency providers in Upland · All 2,782 providers in Upland
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