Organization
ALLWELL MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MADUKA IFEDIBA RN (ADMINISTRATOR)
(310) 308-4094
Entity
Organization
Contact information
Practice address
826 GLENWAY DR, INGLEWOOD, CA 90302-2711
(310) 308-4094
(310) 419-0840
Mailing address
904 NORTH LABREA AVENUE, #2, INGLEWOOD, CA 90302-2208
(310) 308-4094
(310) 419-0840
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
04/08/2009
Last updated
07/07/2009
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