Provider Demographics
NPI:1033699426
Name:REACHWELL HOME HEALTH INC
Entity Type:Organization
Organization Name:REACHWELL HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:801-580-5939
Mailing Address - Street 1:236 1/4 S ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022
Mailing Address - Country:US
Mailing Address - Phone:801-580-5939
Mailing Address - Fax:
Practice Address - Street 1:236 1/4 S ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022
Practice Address - Country:US
Practice Address - Phone:801-580-5939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health