Organization
NANNA HOUSE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONGIE SCOTT (PRES/CEO)
(678) 471-5338
Entity
Organization
Contact information
Practice address
163 S AVENUE 24, SUITES 201-205, LOS ANGELES, CA 90031-2299
(323) 984-7416
(310) 312-5553
Mailing address
163 S AVENUE 24, SUITES 201-205, LOS ANGELES, CA 90031-2299
(323) 984-7416
(310) 312-5553
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/28/2013
Last updated
11/28/2013
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