MEDICARE: MUZUU'S QUALITY CARE NURSING, 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
1	251E00000X	Home Health Agency		CA

General Provider Information

NPI Number	:	1992930762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUZUU'S QUALITY CARE NURSING, INC.

Provider Business Mailing Address
First Line	:	4201 WILSHIRE BLVD
Second Line	:	SUITE 484
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3601
Country	:	US
Telephone Number	:	323-525-0991
Fax Number	:	323-525-1006

Provider Business Practice Location Address
First Line	:	4201 WILSHIRE BLVD
Second Line	:	SUITE 484
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3601
Country	:	US
Telephone Number	:	323-525-0991
Fax Number	:	323-525-1006

Authorized Official
Title or Position	:	CEO
Name	:	MR. DANIEL B NTE
Credential	:
Telephone Number	:	323-525-0991

Provider Enumeration Date	:	05/22/2009
Last Update Date	:	05/22/2009

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