Healthcare Provider Details

I. General information

NPI: 1386020121
Provider Name (Legal Business Name): 247 HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2015
Last Update Date: 08/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24404 VERMONT AVE STE 307H
HARBOR CITY CA
90710-2305
US

IV. Provider business mailing address

24404 VERMONT AVE STE 307H
HARBOR CITY CA
90710-2305
US

V. Phone/Fax

Practice location:
  • Phone: 877-247-6797
  • Fax: 888-814-8165
Mailing address:
  • Phone: 877-247-6797
  • Fax: 888-814-8165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: JACQUELINE GALLAGHER
Title or Position: PRESIDENT
Credential:
Phone: 877-247-6797