Organization
JEDCONNECT, LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC DAVID CARR (FRANCHISE OWNER)
31306458475
Entity
Organization
Contact information
Practice address
5601 W SLAUSON AVE, SUITE 255, CULVER CITY, CA 90230-6582
(310) 645-8475
(310) 645-8415
Mailing address
5601 W SLAUSON AVE, SUITE 255, CULVER CITY, CA 90230-6582
(310) 645-8475
(310) 645-8415
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
194700052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194700052
HOME CARE SERVICES BUREAU
CA
Enumeration date
05/04/2017
Last updated
05/04/2017
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