Healthcare Provider Details
I. General information
NPI: 1932184561
Provider Name (Legal Business Name): NURSES ON WHEELS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2005
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16660 PARAMOUNT BLVD STE., #304
PARAMOUNT CA
90723-5433
US
IV. Provider business mailing address
16660 PARAMOUNT BLVD STE., #304
PARAMOUNT CA
90723-5433
US
V. Phone/Fax
- Phone: 562-630-8783
- Fax: 562-630-7223
- Phone: 562-630-8783
- Fax: 562-630-7223
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MRS.
AURORA
LARGOZA
RUBIO
Title or Position: ADMINISTRATOR/ C.E.O.
Credential: RN., M.A.
Phone: 562-630-8783