Organization
CHARDE ANTOINETTE
Active
Other names
MACPETRUS NURSING SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
CHARDE PETRUS LVN (ADMINISTRATOR)
(213) 798-1547
Entity
Organization
Contact information
Practice address
2923 W 138TH, GARDENA, CA 90249
(213) 798-1547
Mailing address
2200 W CENTURY BLVD, UNIT 47758, LOS ANGELES, CA 90047
(213) 798-1547
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
VN228125
CA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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