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Organization

EKPELE NURSING & STAFFING PROVIDER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUMPHREY AWANZIA NEZIANYA BSHS/CNA (DIRECTOR/CFO)
(323) 226-9091
Entity
Organization

Contact information

Practice address
1550 STADIUM WAY, UNIT 5, LOS ANGELES, CA 90012-1174
(323) 226-9091
(323) 223-2095
Mailing address
1550 STADIUM WAY, UNIT 5, LOS ANGELES, CA 90012-1174
(323) 226-9091
(323) 223-2095

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3158591
CA

Other

Enumeration date
03/25/2009
Last updated
03/25/2009
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