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NPI Code Detail

MEDICARE: AKALAKA NURSING CARE GROUP INC

MEDICARE: AKALAKA NURSING CARE GROUP 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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1801486261
Entity Type Code : Organization
Provider Name (Legal Business Name) : AKALAKA NURSING CARE GROUP INC
Provider Business Mailing Address
First Line : 1338 EAST DENWAY DRIVE
Second Line :
City : CARSON
State : CA
Zip : 90746
Country : US
Telephone Number : 323-426-5200
Fax Number : 323-426-5252
Provider Business Practice Location Address
First Line : 2917 W VERNON AVE # B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-4714
Country : US
Telephone Number : 323-426-5200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CALISTA E EZEOKOYE
Credential : DNP, PMHNP
Telephone Number : 323-426-5200
Provider Enumeration Date : 01/20/2021
Last Update Date : 05/03/2023

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Directions to “AKALAKA NURSING CARE GROUP INC ” Practice Location

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