Provider Demographics
NPI:1972973204
Name:HEALTH TO HOME CENTRAL INC
Entity type:Organization
Organization Name:HEALTH TO HOME CENTRAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILDISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-368-0428
Mailing Address - Street 1:PO BOX 2069
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92516-2069
Mailing Address - Country:US
Mailing Address - Phone:951-368-0428
Mailing Address - Fax:951-368-0429
Practice Address - Street 1:5750 DIVISION ST
Practice Address - Street 2:SUITE 208
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3269
Practice Address - Country:US
Practice Address - Phone:951-368-0428
Practice Address - Fax:951-368-0429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74798207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty