# NANNA HOUSE CORP.

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

## Provider details

- **NPI number:** 1174954275
- **Authorized official:** TONGIE SCOTT (PRES/CEO)
- **Authorized official phone:** (678) 471-5338

## Contact information

- **Practice address:** 163 S AVENUE 24, SUITES 201-205, LOS ANGELES, CA 90031-2299
- **Practice address phone:** (323) 984-7416
- **Practice address fax:** (310) 312-5553
- **Mailing address:** 163 S AVENUE 24, SUITES 201-205, LOS ANGELES, CA 90031-2299
- **Mailing address phone:** (323) 984-7416
- **Mailing address fax:** (310) 312-5553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2013
- **Last updated:** 11/28/2013