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Mrs. Makereta Ledua Heresford
Home Health Agency in Petaluma, California
NPI 1518730555

Makereta Ledua Heresford is a Home Health Agency based in Petaluma, CA. Makereta Ledua Heresford practices in Petaluma, CA. The NPI Number for Makereta Ledua Heresford is 1518730555 and holds a License No. 494700050 (California).

The current practice location address for Makereta Ledua Heresford is 78 Carleton Dr, Petaluma, CA and can be reached out via phone at 707-774-9186.

Location: 78 Carleton Dr, Petaluma, CA, 94952-2254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518730555
Provider Name
Makereta Ledua Heresford
Credential
Provider Entity Type
Individual
Gender
Female
Address
78 Carleton Dr, Petaluma, CA, 94952-2254
Phone Number
707-774-9186
Fax Number
Provider Enumeration Date
11/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
78 Carleton Dr
City
Petaluma
State
California
Zip
94952-2254
Phone Number
707-774-9186
Fax Number
person
Provider Business Mailing Address Details
Address
78 Carleton Dr
City
Petaluma
State
California
Zip
94952-2254
Phone Number
707-774-9186
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
494700050 (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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