Organization
DYNASTY CARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILOU M LUGTU RN (ADMINISTRATOR)
(310) 410-9998
Entity
Organization
Contact information
Practice address
8929 S SEPULVEDA BLVD, SUITE 204, LOS ANGELES, CA 90045-3616
(310) 410-9998
(310) 410-9995
Mailing address
8929 S SEPULVEDA BLVD, SUITE 204, LOS ANGELES, CA 90045-3616
(310) 410-9998
(310) 410-9995
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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