Organization
CONCERN GERIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COULSANDER JOHNSON LVN AND MASTER'S (PRESIDENT)
(562) 230-3354
Entity
Organization
Contact information
Practice address
539 EAST STREET, # 4, LONGBEACH, CA 90806-5542
(562) 230-3354
Mailing address
PO BOX 2570, LONG BEACH, CA 90801-2570
(562) 230-3354
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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