Organization
IDEAL HEALTHCARE STAFF PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR OKECHUKWU AHAIWE LVN, BS (CEO)
(213) 603-1789
Entity
Organization
Contact information
Practice address
3986 WESTSIDE AVE, SUITE B, LOS ANGELES, CA 90008-2630
(213) 603-1789
(323) 292-3529
Mailing address
3986 WESTSIDE AVE, SUITE B, LOS ANGELES, CA 90008-2630
(213) 603-1789
(323) 292-3529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SRAS99897664
CA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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