Organization
GRAPEVINE HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMA G AFANTE (COO)
(213) 389-8200
Entity
Organization
Contact information
Practice address
1007 E DOMINGUEZ ST STE P, CARSON, CA 90746-7244
(213) 389-8200
(213) 389-8201
Mailing address
10523 BURBANK BLVD STE 215, NORTH HOLLYWOOD, CA 91601-2239
(818) 985-0888
(818) 985-0889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
12/04/2017
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