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Organization
MED STAR AGENCY, INC.
Active
Organization
MED STAR AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE BADIKI (CEO, DIRECTOR)
(404) 543-9163
Entity
Organization
Contact information
Practice address
7424 CRENSHAW BLVD, LOS ANGELES, CA 90043-4932
(404) 543-9163
Mailing address
7424 CRENSHAW BLVD, LOS ANGELES, CA 90043-4932
(404) 543-9163
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
08/07/2007
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