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NPI Code Detail

MEDICARE: LBV PARTNERS, INC

MEDICARE: LBV PARTNERS, 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
1385H00000XRespite Care

General Provider Information

NPI Number : 1760759419
Entity Type Code : Organization
Provider Name (Legal Business Name) : LBV PARTNERS, INC
Provider Business Mailing Address
First Line : 3216 W MANCHESTER BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90305-2320
Country : US
Telephone Number : 310-422-9262
Fax Number :
Provider Business Practice Location Address
First Line : 3216 W MANCHESTER BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90305-2320
Country : US
Telephone Number : 310-422-9262
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : VICTORIA LUCAS
Credential : D.C., L.AC.
Telephone Number : 310-422-9262
Provider Enumeration Date : 11/23/2011
Last Update Date : 11/23/2011

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