| NPI | 1063988335 |
|---|---|
| Doing Business As | FORMATION HEALTH CARE STAFFING |
| Entity Type | Organization |
| Authorized Contact | IAN VATAN Owner 310-429-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |