Organization
CYSCO DM HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYRIACUS C OMEAKU SR. (PRESIDENT/CEO)
(323) 893-5140
Entity
Organization
Contact information
Practice address
2930 W IMPERIAL HWY STE 200F, INGLEWOOD, CA 90303-3142
(323) 893-5140
(323) 779-2322
Mailing address
2930 W IMPERIAL HWY STE 200F, INGLEWOOD, CA 90303-3142
(323) 893-5140
(323) 779-2322
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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