Organization
CARSON HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHINWEIKE OGBODO NP (PRESIDENT)
(310) 228-8682
Entity
Organization
Contact information
Practice address
17625 CENTRAL AVE, CARSON, CA 90746-1661
(310) 228-8682
Mailing address
17625 CENTRAL AVE, CARSON, CA 90746-1661
(310) 228-8682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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