Organization Name: | SDKJ FOREVER, LLC. |
NPI Number: | 1689051559 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAYHER UPPAL (OWNER) |
Mailing Address: | 11428 Artesia Blvd Suite 26 Artesia |
State: | CA US |
Postal Code: | 907013800 |
Phone Number: | 7147269197 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2015 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |