Organization
LVN/INHOME CARE NURSING
Active
Organization
LVN/INHOME CARE NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GASTON PHILLIPS (DIRECTOR OF IN HOME CARE SERVICES)
(866) 508-2236
Entity
Organization
Contact information
Practice address
1 WORLD TRADE CTR, SUITE 800, LONG BEACH, CA 90831-0002
(866) 508-2236
(619) 330-2153
Mailing address
1 WORLD TRADE CTR, SUITE 800, LONG BEACH, CA 90831-0002
(866) 508-2236
(619) 330-2153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/09/2009
Last updated
03/20/2009
Update your record
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