Organization
MAGNIFICENT HEALTH CARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JUNNEL A CAROLINO RN (CEO)
(213) 842-6224
Entity
Organization
Contact information
Practice address
14545 FRIAR ST STE 397, VAN NUYS, CA 91411-2397
(818) 646-7866
(818) 647-6775
Mailing address
14545 FRIAR ST STE 397, VAN NUYS, CA 91411-2397
(818) 646-7866
(818) 647-6775
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5017100
ENTITY NO
CA
Enumeration date
05/16/2022
Last updated
05/16/2022
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