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NPI Code Detail

MEDICARE: NTJR ELDERLY CARE AGENCY

MEDICARE: NTJR ELDERLY CARE AGENCY
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1871854786
Entity Type Code : Organization
Provider Name (Legal Business Name) : NTJR ELDERLY CARE AGENCY
Provider Business Mailing Address
First Line : 7741 ROMAINE ST APT 4
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90046-6224
Country : US
Telephone Number : 818-312-5868
Fax Number :
Provider Business Practice Location Address
First Line : 7741 ROMAINE ST APT 4
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90046-6224
Country : US
Telephone Number : 818-312-5868
Fax Number :
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MR. NICOMEDES TORRES JR.
Credential :
Telephone Number : 818-312-5868
Provider Enumeration Date : 06/06/2012
Last Update Date : 06/06/2012

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Directions to “NTJR ELDERLY CARE AGENCY ” Practice Location

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