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NPI Code Detail

MEDICARE: ST CLAIRS HOME HEALTH INC

MEDICARE: ST CLAIRS HOME HEALTH 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 AgencyCA

Other Identifiers

General Provider Information

NPI Number : 1184623753
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST CLAIRS HOME HEALTH INC
Provider Business Mailing Address
First Line : 1508 CENTINELA AVE
Second Line :
City : INGLEWOOD
State : CA
Zip : 90302-1144
Country : US
Telephone Number : 310-330-3440
Fax Number : 310-330-3449
Provider Business Practice Location Address
First Line : 1508 CENTINELA AVE
Second Line :
City : INGLEWOOD
State : CA
Zip : 90302-1144
Country : US
Telephone Number : 310-330-3440
Fax Number : 310-330-3449
Authorized Official
Title or Position : PRESIDENT ADMINISTRATOR
Name : MS. MARGARET ROSE LANAM
Credential : RN BSN CLNC
Telephone Number : 310-330-3440
Provider Enumeration Date : 07/18/2005
Last Update Date : 03/18/2008

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Directions to “ST CLAIRS HOME HEALTH INC ” Practice Location

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