- Enrollment id
- O20160721000211
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1134455868
- Multiple npi flag
- N
- Ccn
- 053114
- Associate id
- 4981869229
- Organization name
- REMEDY HEALTH CARE SERVICES, INC.
- Incorporation date
- 2009-04-20
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 818 N MOUNTAIN AVE
- Address line 2
- STE 118
- City
- UPLAND
- State
- CA
- Zip code
- 917864164