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Sierra Home Care, LLC

In Home Supportive Care in Los Angeles, CA. Organization (NPI-2).

NPI number1245926997
StatusActive
Last updated in NPPESApr 14, 2023

Details

NPI
1245926997
Entity type
Organization (NPI-2)
Legal business name
Sierra Home Care, LLC
Organization subpart
No
Enumeration date
Apr 14, 2023
Certification date
Apr 14, 2023
Last updated
Apr 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

2064 Marengo St
Los Angeles, CA 90033-1353

Phone 323-576-2250 · Fax 323-576-2252

Mailing address

2064 Marengo St
Los Angeles, CA 90033-1353

Phone 323-576-2250 · Fax 323-576-2252

Authorized official

Jason Sungjin Lee
Supervisor
2133930063

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