Organization
LOTUS IN-HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AYUB HASSAN (CHIEF EXECUTIVE OFFICER)
(323) 309-6539
Entity
Organization
Contact information
Practice address
4205 W 3RD ST, LOS ANGELES, CA 90020-3407
(323) 309-6539
Mailing address
4205 W 3RD ST, LOS ANGELES, CA 90020-3407
(323) 309-6539
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194700873
CALIFORNIA DEPARTMENT OF SOCIAL NSERVICES
CA
Enumeration date
11/28/2022
Last updated
11/28/2022
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