Organization
LITTLE COMPANY OF MARY HEALTH SERVICES
Active
Other names
Little Company of Mary Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ZUANICH (CFO)
(310) 303-7496
Entity
Organization
Contact information
Practice address
3551 VOYAGER ST, STE 201, TORRANCE, CA 90503-1674
(310) 303-7496
(310) 303-7575
Mailing address
PO BOX 6668, SAN PEDRO, CA 90734-6668
(310) 303-7496
(310) 303-7575
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980000818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
557447
BLUE CROSS PROV#
CA
05
—
HHA57447G
—
CA
01
—
ZZZ66009Z
BLUE SHIELD PROV#
CA
Enumeration date
06/20/2005
Last updated
04/27/2009
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