Provider Demographics
NPI:1508193095
Name:AMDAL IN-HOME CARE INC.
Entity Type:Organization
Organization Name:AMDAL IN-HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERSON
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-227-2701
Mailing Address - Street 1:7400 MORRO RD STE A
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-4467
Mailing Address - Country:US
Mailing Address - Phone:805-464-0108
Mailing Address - Fax:
Practice Address - Street 1:7400 MORRO RD STE A
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-4467
Practice Address - Country:US
Practice Address - Phone:805-464-0108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMDAL IN HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care