MEDICARE: NATION CARE INC CA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043602543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATION CARE INC CA

Provider Business Mailing Address
First Line	:	5732 GRANITE CT
Second Line	:
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08110-2820
Country	:	US
Telephone Number	:	202-378-7720
Fax Number	:

Provider Business Practice Location Address
First Line	:	8611 CRENSHAW BLVD
Second Line	:	STE 210
City	:	INGLEWOOD
State	:	CA
Zip	:	90305-2343
Country	:	US
Telephone Number	:	202-378-7720
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PIUS NDE FON
Credential	:
Telephone Number	:	202-378-7720

Provider Enumeration Date	:	02/21/2015
Last Update Date	:	10/07/2015

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Directions to “NATION CARE INC CA ” Practice Location

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