Organization
AC HOME CARE SERVICES PRIVATE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA M CAMPBELL RN MS (ADMINISTRATOR)
(323) 294-5189
Entity
Organization
Contact information
Practice address
3870 CRENSHAW BLVD STE 209, LOS ANGELES, CA 90008-1815
(323) 294-5189
(323) 293-0047
Mailing address
3870 CRENSHAW BLVD STE 209, LOS ANGELES, CA 90008-1815
(323) 294-5189
(323) 293-0047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980000735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07433G
—
CA
Enumeration date
09/23/2010
Last updated
09/23/2010
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