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NPI Code Detail

MEDICARE: LABOD HOME CARE INC.

MEDICARE: LABOD HOME CARE 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 Agency

General Provider Information

NPI Number : 1851031280
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABOD HOME CARE INC.
Provider Business Mailing Address
First Line : 21106 OAKLEAF CANYON DR
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91321-4674
Country : US
Telephone Number : 818-256-9677
Fax Number :
Provider Business Practice Location Address
First Line : 21106 OAKLEAF CANYON DR
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91321-4674
Country : US
Telephone Number : 818-256-9677
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. OLUSOLA ADIO OLABODE
Credential :
Telephone Number : 818-256-9677
Provider Enumeration Date : 04/01/2022
Last Update Date : 04/01/2022

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