- Enrollment id
- O20070508000748
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1093798977
- Multiple npi flag
- N
- Ccn
- 058026
- Associate id
- 3870699887
- Organization name
- ETHICAL HOME HEALTH CARE INC
- Incorporation date
- 1996-11-13
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 550N EUCLID AVE
- City
- UPLAND
- State
- CA
- Zip code
- 917864734