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Organization
PRODEX HOME HEALTH AGENCY
Active
Organization
PRODEX HOME HEALTH AGENCY
Active
Other names
Prodex Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OGUNKAH (PRESIDENT)
(310) 219-2889
Entity
Organization
Contact information
Practice address
14719 HAWTHORNE BLVD, 202, LAWNDALE, CA 90260-1544
(310) 219-2889
(310) 219-2891
Mailing address
14719 HAWTHORNE BLVD, SUITE 202, LAWNDALE, CA 90260-1544
(310) 219-2889
(310) 219-2891
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000178
CA
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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