Organization
DESTINY HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIEMA EFFIONG (PRESIDENT)
(310) 672-2555
Entity
Organization
Contact information
Practice address
425 E HYDE PARK BLVD, INGLEWOOD, CA 90302-2405
(310) 672-2555
(310) 672-2111
Mailing address
425 E HYDE PARK BLVD, INGLEWOOD, CA 90302-2405
(310) 672-2555
(310) 672-2111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000339
DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
07/15/2006
Last updated
11/20/2009
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