Ideal Healthcare Staff Providers

NPI 1194035428 - Home Health - 251E00000X

NPI Details
NPI 1194035428
Enumeration Date 10/20/2010
Last Updated 10/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name VICTOR OKECHUKWU VICTOR
Position CEO
Phone (213) 603-1789
Fax (323) 292-3529
Practice Location
3986 WESTSIDE AVE
SUITE B
LOS ANGELES CA, 90008-2630, US
Phone (213) 603-1789
Fax (323) 292-3529
Business Location
3986 WESTSIDE AVE
SUITE B
LOS ANGELES CA, 90008-2630, US
Phone (213) 603-1789
Fax (323) 292-3529
Toxanomy
Taxonomy Code 251E00000X
License State California
License Number SRAS99897664
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According to our database, Ideal Healthcare Staff Providers NPI is 1194035428, taxonomy code is 251E00000X and license number is SRAS99897664, license state is located at California. Ideal Healthcare Staff Providers physically located at 3986 Westside Ave, Los Angeles CA, 90008-2630. NPI Number 1033115704 has the healthcare provider type.

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1194035428 NPI number is provided on an as is basis without warranty of any kind. 1194035428 is maintained by the National Plan & Provider Enumeration System. The contents of Ideal Healthcare Staff Providers are for informational purposes only.