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Mr. David James Cervantes-vibat JR., MOT
Home Health Agency in Vallejo, California
NPI 1548920184

David James Cervantes-vibat JR. is a Home Health Agency based in American Canyon, CA. David James Cervantes-vibat JR. practices in Vallejo, CA and has the professional credentials of MOT. The NPI Number for David James Cervantes-vibat JR. is 1548920184 and holds a License No. (California).

The current practice location address for David James Cervantes-vibat JR. is 167 Limestone Dr, Vallejo, CA and can be reached out via phone at 707-319-0674.

Location: 167 Limestone Dr, Vallejo, CA, 94503-4118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548920184
Provider Name
David James Cervantes-vibat JR.
Credential
MOT
Provider Entity Type
Individual
Gender
Male
Address
167 Limestone Dr, Vallejo, CA, 94503-4118
Phone Number
707-319-0674
Fax Number
Provider Enumeration Date
12/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
167 Limestone Dr
City
Vallejo
State
California
Zip
94589-2177
Phone Number
707-319-0674
Fax Number
person
Provider Business Mailing Address Details
Address
167 Limestone Dr
City
Vallejo
State
California
Zip
94589-2177
Phone Number
707-319-0674
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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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