Organization
A LA CARTE COMPANION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE M AVERY CNA/CHHA (EXECUTIVE DIRECTOR)
(323) 845-5200
Entity
Organization
Contact information
Practice address
3363 SIERRA ST, LOS ANGELES, CA 90031-2134
(323) 845-5200
(323) 221-4313
Mailing address
2554 LINCOLN BLVD, #168, VENICE, CA 90291-5082
(323) 845-5200
(323) 221-4313
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
CA
Other
Enumeration date
08/28/2010
Last updated
08/28/2010
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