Organization Name: | LEISURE WORLD CARE GIVER AGENCY |
NPI Number: | 1437467263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY ADAMS (OWNER) |
Mailing Address: | 2930 W Imperial Hwy Ste 200q Inglewood |
State: | CA US |
Postal Code: | 903033142 |
Phone Number: | 8772938397 |
Fax Number: | 3237542724 |
NPI Enumeration Date: | 09/14/2010 |
NPI Last Update Date: | 09/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |