# QISMAH, INC

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

## Provider details

- **NPI number:** 1831588839
- **Authorized official:** MRS. ANGELA HUFFMAN (OWNER/ DIRECTOR)
- **Authorized official phone:** (310) 217-4024

## Contact information

- **Practice address:** 879 W 190TH ST, 400, GARDENA, CA 90248-4220
- **Practice address phone:** (310) 217-4024
- **Mailing address:** 879 W 190TH ST, 400, GARDENA, CA 90248-4223
- **Mailing address phone:** (310) 567-3647
- **Mailing address fax:** (310) 719-8725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 198205057 | CA | Yes |

## Other

- **Enumeration date:** 01/13/2015
- **Last updated:** 12/08/2015
