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NPI Code Detail

MEDICARE: HEALING HANDS HOME HEALTHCARE, INC.

MEDICARE: HEALING HANDS HOME HEALTHCARE, INC.
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
1251E00000XHome Health Agency980001349CA

General Provider Information

NPI Number : 1922006030
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING HANDS HOME HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 2525 COLORADO BLVD.
Second Line : SUITE D
City : LOS ANGELES
State : CA
Zip : 90041-1602
Country : US
Telephone Number : 323-739-0333
Fax Number : 323-739-0330
Provider Business Practice Location Address
First Line : 2525 COLORADO BLVD
Second Line : SUITE D
City : LOS ANGELES
State : CA
Zip : 90041-1062
Country : US
Telephone Number : 323-739-0333
Fax Number : 323-739-0330
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. TERESITA ADLAWAN PREJILLANA
Credential : R..N.
Telephone Number : 323-739-0333
Provider Enumeration Date : 07/12/2005
Last Update Date : 04/14/2014

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