Organization
ONE FAMILY HEALTH ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA RENEE HOLLEY (PRESIDENT)
(562) 500-0285
Entity
Organization
Contact information
Practice address
206 E 185TH ST, CARSON, CA 90746-1706
(562) 500-0285
Mailing address
206 E 185TH ST, CARSON, CA 90746-1706
(562) 500-0285
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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