Organization
HEALTH NUTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA RENEE JORDAN LVN (LICENSE VOCATIONAL NURSE)
(323) 219-6188
Entity
Organization
Contact information
Practice address
9475 LA SALLE AVE, LOS ANGELES, CA 90047-3836
(323) 219-6188
(323) 777-2160
Mailing address
9475 LA SALLE AVE, LOS ANGELES, CA 90047-3836
(323) 219-6188
(323) 777-2160
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
269742
CA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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