Organization
CYSCODM GROUP, LLC
Active
Other names
Cysco Divine Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET N OMEAKU CSCM (MANAGER)
(747) 238-2082
Entity
Organization
Contact information
Practice address
400 CONTINENTAL BLVD STE 640, EL SEGUNDO, CA 90245-5076
(747) 238-2082
Mailing address
10926 CASIMIR AVE, INGLEWOOD, CA 90303-2512
(323) 742-9999
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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