Organization
ALLWELL MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK IFEDIBA RN (ADMINISTRATOR)
(310) 308-4094
Entity
Organization
Contact information
Practice address
826 GLENWAY DR, INGLEWOOD, CA 90302-2711
(310) 308-4094
Mailing address
826 GLENWAY DRIVE, INGLEWOOD, CA 90302-2711
(310) 308-4094
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
569887
CA
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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