# CYSCODM GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cysco Divine Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740843366
- **Authorized official:** MRS. MARGARET N OMEAKU CSCM (MANAGER)
- **Authorized official phone:** (747) 238-2082

## Contact information

- **Practice address:** 400 CONTINENTAL BLVD STE 640, EL SEGUNDO, CA 90245-5076
- **Practice address phone:** (747) 238-2082
- **Mailing address:** 10926 CASIMIR AVE, INGLEWOOD, CA 90303-2512
- **Mailing address phone:** (323) 742-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2019
- **Last updated:** 04/18/2019