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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURA MAYA (PRESIDENT)
(310) 301-0009
Entity
Organization

Contact information

Practice address
6060 W MANCHESTER AVE, SUITE 113, LOS ANGELES, CA 90045-4200
(310) 301-0009
Mailing address
6060 W MANCHESTER AVE, SUITE 113, LOS ANGELES, CA 90045-4200
(310) 301-0009

Taxonomy

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

Other

Enumeration date
01/29/2016
Last updated
01/29/2016
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