| NPI | 1144816513 |
|---|---|
| Former Legal Business Name | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | IKE OGBODO Manager 310-228-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |