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Pergo Home Health

Home Health in Los Angeles, CA. Organization (NPI-2).

NPI number1437745197
StatusActive
Last updated in NPPESDec 23, 2020

Details

NPI
1437745197
Entity type
Organization (NPI-2)
Legal business name
Pergo Home Health
Organization subpart
No
Enumeration date
Dec 17, 2020
Certification date
Dec 23, 2020
Last updated
Dec 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

5657 Wilshire Blvd Ste 430
Los Angeles, CA 90036-3741

Phone 323-483-5027 · Fax 323-483-5072

Mailing address

5657 Wilshire Blvd Ste 430
Los Angeles, CA 90036-3741

Phone 323-483-5027 · Fax 323-483-5072

Authorized official

Brittany Pena
Owner, Ceo, Cfo, Secretary
3234835027

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