Healthcare Provider Details

I. General information

NPI: 1407855620
Provider Name (Legal Business Name): DUHANEY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 W MANCHESTER AVE STE 312
LOS ANGELES CA
90045-4267
US

IV. Provider business mailing address

6060 W MANCHESTER AVE STE 312
LOS ANGELES CA
90045-4267
US

V. Phone/Fax

Practice location:
  • Phone: 310-416-1160
  • Fax: 310-416-1134
Mailing address:
  • Phone: 310-416-1160
  • Fax: 310-416-1134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980000796
License Number StateCA

VIII. Authorized Official

Name: MR. BINZIE ROY DAVIDSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 310-416-1160