| Organization Name: | NANNA HOUSE CORP. |
| NPI Number: | 1174954275 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TONGIE SCOTT (PRES/CEO) |
| Mailing Address: | 163 S Avenue 24 Suites 201-205 Los Angeles |
| State: | CA US |
| Postal Code: | 900312299 |
| Phone Number: | 3239847416 |
| Fax Number: | 3103125553 |
| NPI Enumeration Date: | 11/28/2013 |
| NPI Last Update Date: | 11/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |