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Johnathan Brandon Wellington
Home Health Agency in Moreno Valley, California
NPI 1225706096

Johnathan Brandon Wellington is a Home Health Agency based in Moreno Valley, CA. Johnathan Brandon Wellington practices in Moreno Valley, CA. The NPI Number for Johnathan Brandon Wellington is 1225706096 and holds a License No. 550006383 (California).

The current practice location address for Johnathan Brandon Wellington is 25400 Alessandro Blvd Ste 102, Moreno Valley, CA and can be reached out via phone at 951-750-0117. You can also correspond with Johnathan Brandon Wellington through the mailing address at 27882 DE LA VALLE DR, MORENO VALLEY, CA - 92555-5917 (mailing address contact number: 951-750-0117).

Location: 25400 Alessandro Blvd Ste 102, Moreno Valley, CA, 92555-5917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225706096
Provider Name
Johnathan Brandon Wellington
Credential
Provider Entity Type
Individual
Gender
Male
Address
25400 Alessandro Blvd Ste 102, Moreno Valley, CA, 92555-5917
Phone Number
951-750-0117
Fax Number
Provider Enumeration Date
09/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25400 Alessandro Blvd Ste 102
City
Moreno Valley
State
California
Zip
92553-4319
Phone Number
951-750-0117
Fax Number
person
Provider Business Mailing Address Details
Address
25400 Alessandro Blvd Ste 102
City
Moreno Valley
State
California
Zip
92553-4319
Phone Number
951-750-0117
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
550006383 (California)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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