| NPI | 1609569292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMELLA SILLAH Manager 213-270-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 310400000X Assisted Living Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |