Organization
FORMATION INC
Active
Other names
Formation Health Care Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
IAN VATAN (OWNER)
(310) 429-7110
Entity
Organization
Contact information
Practice address
1611 WESTWOOD BLVD, LOS ANGELES, CA 90024
(310) 429-7110
Mailing address
1611 WESTWOOD BLVD, LOS ANGELES, CA 90024
(310) 429-7110
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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