Organization
ALLSUPREME HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA L GANDIONCO (PRESIDENT)
(310) 273-8616
Entity
Organization
Contact information
Practice address
13110 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5126
(310) 273-8616
(310) 273-8282
Mailing address
13110 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5126
(310) 273-8616
(310) 273-8282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001438
CA
Other
Enumeration date
11/09/2006
Last updated
05/07/2014
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