Organization
PRIORITY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAZEL NIKKI MANGAOANG DAVID (PRESIDENT)
(818) 318-5880
Entity
Organization
Contact information
Practice address
1110 S 5TH AVE UNIT 216, MONROVIA, CA 91016-3870
(818) 318-5880
Mailing address
1110 S 5TH AVE UNIT 216, MONROVIA, CA 91016-3870
(818) 318-5880
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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