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Edsil Banduyang Liwag
Home Health Agency in San Diego, California
NPI 1952180580

Edsil Banduyang Liwag is a Home Health Agency based in San Diego, CA. Edsil Banduyang Liwag practices in San Diego, CA. The NPI Number for Edsil Banduyang Liwag is 1952180580 and holds a License No. 6002863740 (California).

The current practice location address for Edsil Banduyang Liwag is 3993 Caseman Ave, San Diego, CA and can be reached out via phone at 619-690-1022.

Location: 3993 Caseman Ave, San Diego, CA, 92154-2508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952180580
Provider Name
Edsil Banduyang Liwag
Credential
Provider Entity Type
Individual
Gender
Male
Address
3993 Caseman Ave, San Diego, CA, 92154-2508
Phone Number
619-690-1022
Fax Number
Provider Enumeration Date
09/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3993 Caseman Ave
City
San Diego
State
California
Zip
92154-2508
Phone Number
619-690-1022
Fax Number
person
Provider Business Mailing Address Details
Address
3993 Caseman Ave
City
San Diego
State
California
Zip
92154-2508
Phone Number
619-690-1022
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
6002863740 (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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