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Organization
AGILE TEAM HOMECARE SERVICES LLC
Active
Organization
AGILE TEAM HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA I EZE (ADMINISTRATOR)
(310) 741-1129
Entity
Organization
Contact information
Practice address
3605 LONG BEACH BLVD STE 233A, LONG BEACH, CA 90807-4024
(310) 741-1129
Mailing address
15419 GRAMERCY PL, GARDENA, CA 90249-4712
(310) 741-1129
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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