# CYSCO DM HOME HEALTH AGENCY INC

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

## Provider details

- **NPI number:** 1831324037
- **Authorized official:** MR. CYRIACUS C OMEAKU SR. (PRESIDENT/CEO)
- **Authorized official phone:** (323) 893-5140

## Contact information

- **Practice address:** 2930 W IMPERIAL HWY STE 200F, INGLEWOOD, CA 90303-3142
- **Practice address phone:** (323) 893-5140
- **Practice address fax:** (323) 779-2322
- **Mailing address:** 2930 W IMPERIAL HWY STE 200F, INGLEWOOD, CA 90303-3142
- **Mailing address phone:** (323) 893-5140
- **Mailing address fax:** (323) 779-2322

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 05/18/2009