Provider Demographics
NPI:1689967978
Name:NATWICK FAMILY HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:NATWICK FAMILY HOME HEALTH SERVICES, LLC
Other - Org Name:COMFORCARE SENIOR SERVICES - SAN DIEGO INLAND - LA MESA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NATWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-532-0239
Mailing Address - Street 1:1137 RACHEL CIR
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2152
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2340 TAMPA AVE STE E
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2842
Practice Address - Country:US
Practice Address - Phone:619-460-5243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care