Organization
LOBOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE WASHINGTON (CEO)
(248) 470-3206
Entity
Organization
Contact information
Practice address
1111 N MISSION PARK BLVD APT 1092, CHANDLER, AZ 85224-9018
(248) 595-1432
Mailing address
1111 N MISSION PARK BLVD APT 1092, CHANDLER, AZ 85224-9018
(248) 595-1432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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