# A1 PEACE HOMECARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003704719
- **Authorized official:** MI JUNG BAK (DIRECTOR OF NURSE)
- **Authorized official phone:** (213) 863-0546

## Contact information

- **Practice address:** 16702 WEGMAN DR, LA PUENTE, CA 91744-4855
- **Practice address phone:** (310) 408-1933
- **Mailing address:** 16702 WEGMAN DR, LA PUENTE, CA 91744-4855
- **Mailing address phone:** (310) 408-1933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2025
- **Last updated:** 06/24/2025