Organization
CAPITAL HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDEN LELLIS LOGAN R.N. (ADMINISTRATOR)
(310) 253-5384
Entity
Organization
Contact information
Practice address
2818 LA CIENEGA AVE, SUITE 205, LOS ANGELES, CA 90034-2618
(310) 253-5384
(310) 253-9191
Mailing address
2818 LA CIENEGA AVE, SUITE 205, LOS ANGELES, CA 90034-2618
(310) 253-5384
(310) 025-3919
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08042F
—
CA
Enumeration date
05/31/2007
Last updated
07/30/2007
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