# EPAK LLC

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

## Provider details

- **NPI number:** 1518578251
- **Authorized official:** MR. MARK DWAYNE JACKSON II (ADMINISTRATOR)
- **Authorized official phone:** (310) 999-8113

## Contact information

- **Practice address:** 6327 GIOVANNI WAY, PALMDALE, CA 93551
- **Practice address phone:** (310) 999-8113
- **Practice address fax:** (661) 206-5039
- **Mailing address:** 6327 GIOVANNI WAY, PALMDALE, CA 93551
- **Mailing address phone:** (310) 999-8113
- **Mailing address fax:** (661) 206-5039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 163WH1000X | Hospice Registered Nurse | — | NULL | — |
| 163WH1000X | Hospice Registered Nurse | — | — | — |

## Other

- **Enumeration date:** 08/16/2020
- **Last updated:** 08/16/2020