Organization
LOL, CORP
Active
Other names
ComForcare Senior Services
Organization subpart
No
Provider details
NPI number
Authorized official
LILA BASCOM (OWNER)
(562) 430-9845
Entity
Organization
Contact information
Practice address
4132 KATELLA AVE, SUITE 101-9, LOS ALAMITOS, CA 90720-3426
(562) 430-9845
(562) 430-9857
Mailing address
4132 KATELLA AVE, SUITE 101-9, LOS ALAMITOS, CA 90720-3426
(562) 430-9845
(562) 430-9857
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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