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NPI Code Detail

MEDICARE: BENEVOLENCE HOME HEALTH CARE, INC.

MEDICARE: BENEVOLENCE HOME HEALTH 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 : 1932254422
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENEVOLENCE HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 14623 HAWTHORNE BLVD
Second Line : 401
City : LAWNDALE
State : CA
Zip : 90260-1581
Country : US
Telephone Number : 310-675-3751
Fax Number : 310-675-3733
Provider Business Practice Location Address
First Line : 14623 HAWTHORNE BLVD
Second Line : 401
City : LAWNDALE
State : CA
Zip : 90260-1581
Country : US
Telephone Number : 310-675-3751
Fax Number : 310-675-3733
Authorized Official
Title or Position : CEO
Name : MR. OLAEYE ABIORO
Credential :
Telephone Number : 310-675-3751
Provider Enumeration Date : 01/24/2007
Last Update Date : 08/22/2020

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Directions to “BENEVOLENCE HOME HEALTH CARE, INC. ” Practice Location

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