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Organization
VALLEYCHOICE HOME HEALTH EXTENDERS LLC
Active
Organization
VALLEYCHOICE HOME HEALTH EXTENDERS LLC
Active
Other names
same as above
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IKE OGBODO NURSE PRACTITIONER (MANAGER)
(310) 228-8682
Entity
Organization
Contact information
Practice address
17625 CENTRAL AVE STE C, CARSON, CA 90746-1661
(310) 228-8682
Mailing address
17625 CENTRAL AVE STE C, CARSON, CA 90746-1661
(310) 228-8682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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