Organization
HOME REHABILITATION HEALTHCARE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOY TYSON RN BSN (DIRECTOR OF NURSING ADMINISTRATOR)
(310) 677-4400
Entity
Organization
Contact information
Practice address
644 E REGENT ST, SUITE 101, INGLEWOOD, CA 90301-4502
(310) 677-4400
(310) 677-4407
Mailing address
644 E REGENT ST, SUITE 101, INGLEWOOD, CA 90301-1433
(310) 677-4400
(310) 677-4407
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5371136
—
CA
Enumeration date
11/16/2005
Last updated
06/02/2016
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