Provider Demographics
NPI:1760789226
Name:HUMAN TOUCH HOME HEALTH CARE AGENCY, INC. (SAN BERNARDINO)
Entity Type:Organization
Organization Name:HUMAN TOUCH HOME HEALTH CARE AGENCY, INC. (SAN BERNARDINO)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAMERIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-806-4716
Mailing Address - Street 1:2741 S. ROBERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2403
Mailing Address - Country:US
Mailing Address - Phone:909-806-4716
Mailing Address - Fax:866-370-4692
Practice Address - Street 1:577 N D ST
Practice Address - Street 2:111E
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92401-1324
Practice Address - Country:US
Practice Address - Phone:909-806-4716
Practice Address - Fax:866-370-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health