| NPI | 1518730035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN OSAMUYI FRANK IDEHEN Owner 323-202-3679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251E00000X Home Health |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |