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Organization
MESOCARE PCA
Active
Organization
MESOCARE PCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NKIRUKA ELIZABETH IFEDIBA (OWNER)
(310) 308-4094
Entity
Organization
Contact information
Practice address
826 GLENWAY DR, INGLEWOOD, CA 90302-2711
(310) 308-4094
(310) 673-1900
Mailing address
826 GLENWAY DR, INGLEWOOD, CA 90302-2711
(310) 308-4094
(310) 673-1900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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