Organization
ELSA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONWAIGHT REYES (OWNER/PRESIDENT)
(323) 252-1729
Entity
Organization
Contact information
Practice address
1633 E 114TH ST, LOS ANGELES, CA 90059-1901
(323) 252-1729
Mailing address
1633 E 114TH ST, LOS ANGELES, CA 90059-1901
(323) 252-1729
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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