# HUMANITAS HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Humanitas Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295480051
- **Authorized official:** MICHAEL QUIBAL RN (PRESIDENT)
- **Authorized official phone:** (562) 278-2466

## Contact information

- **Practice address:** 5230 CLARK AVE STE 19, LAKEWOOD, CA 90712-2674
- **Practice address phone:** (562) 278-2466
- **Practice address fax:** (562) 278-2466
- **Mailing address:** 5230 CLARK AVE STE 19, LAKEWOOD, CA 90712-2674
- **Mailing address phone:** (562) 278-2466
- **Mailing address fax:** (562) 278-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2022
- **Last updated:** 02/19/2022