Organization
THE AJETS CORPORATION
Active
Other names
GuardianLite Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ADEYANJU AJETUNMOBI (PRESIDENT/CEO)
(213) 453-2489
Entity
Organization
Contact information
Practice address
1179 W 11TH ST APT 6, SAN PEDRO, CA 90731-3442
(213) 453-2489
Mailing address
1179 W 11TH ST APT 6, SAN PEDRO, CA 90731-3442
(213) 453-2489
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
95061273
CA
251J00000X
Nursing Care Agency
95061273
CA
251S00000X
Community/Behavioral Health Agency
95061273
CA
253Z00000X
In Home Supportive Care Agency
Primary
95061273
CA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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