Organization · NPI-2

Avida Home Care

In Home Supportive Care · Walnut Creek, CA

NPI number1427653682
StatusActive
Last updated in NPPESDec 21, 2020

Details

NPI
1427653682
Entity type
Organization (NPI-2)
Legal business name
Avida Home Care
Organization subpart
No
Enumeration date
Dec 3, 2020
Certification date
Dec 21, 2020
Last updated
Dec 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

2121 N California Blvd Ste 290
Walnut Creek, CA 94596-7351

Phone 925-948-8432

Mailing address

2121 N California Blvd Ste 290
Walnut Creek, CA 94596-7351

Phone 925-948-8432

Authorized official

Raul Mendez
Ceo
9259488432

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