Organization
SOUTH BAY BABY CARE NURSING SERVICES, INC
Active
Other names
South Bay Baby Care
Organization subpart
No
Provider details
NPI number
Authorized official
LISA T GROSSMAN RN, IBCLC (OWNER/REGISTERED NURSE)
(310) 650-9722
Entity
Organization
Contact information
Practice address
641 HILLCREST ST, EL SEGUNDO, CA 90245-2961
(310) 650-9722
Mailing address
641 HILLCREST ST, EL SEGUNDO, CA 90245-2961
(310) 650-9722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
827047
CA
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/09/2018
Last updated
04/01/2022
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