Organization
QISMAH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA HUFFMAN (OWNER/ DIRECTOR)
(310) 217-4024
Entity
Organization
Contact information
Practice address
879 W 190TH ST, 400, GARDENA, CA 90248-4220
(310) 217-4024
Mailing address
879 W 190TH ST, 400, GARDENA, CA 90248-4223
(310) 567-3647
(310) 719-8725
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
198205057
CA
Other
Enumeration date
01/13/2015
Last updated
12/08/2015
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