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Organization

LULY HOME HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIM PHUNG NGO RN (CEO)
(714) 718-2755
Entity
Organization

Contact information

Practice address
11749 EDINGER AVE, FOUNTAIN VALLEY, CA 92708-1208
(714) 332-7093
(714) 242-7577
Mailing address
11749 EDINGER AVE, FOUNTAIN VALLEY, CA 92708-1208
(714) 718-2755

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/25/2019
Last updated
07/25/2019
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