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Organization

A PLACE OF GRACE HOME HEALTHCARE AGENCY L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. APRIL WILEY (ADMINISTRATOR)
(323) 753-3679
Entity
Organization

Contact information

Practice address
6820 LATIJERA BLVD. #201, LOS ANGELES, CA 90045
(323) 753-3679
Mailing address
2623 W 78TH PL, INGLEWOOD, CA 90305-1023
(323) 753-3679

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CA

Other

Enumeration date
10/16/2009
Last updated
10/16/2009
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