Provider Demographics
NPI:1942053202
Name:FOYER HOME HEALTH SERVICE
Entity Type:Organization
Organization Name:FOYER HOME HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:ALGERELL
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:858-205-7580
Mailing Address - Street 1:17439 FAIRLIE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-3953
Mailing Address - Country:US
Mailing Address - Phone:858-205-7580
Mailing Address - Fax:
Practice Address - Street 1:17439 FAIRLIE RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-3953
Practice Address - Country:US
Practice Address - Phone:858-205-7580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health