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  • 757048
CCN: 757048 NPI: 1922688050 Organization

Formal Home Health Inc

2060 HUNTINGTON DR STE 10B
SAN MARINO, CA 911082044

Contact Information

  • Phone 6268000114
  • Enumeration Date 2021-04-13
  • Last Updated 2021-04-20

Taxonomies

  • Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 9
cbsaActualGeographicLocation 31084
providerType 36
censusDivision 9
cbsaActualGeographicLocation 31084
providerType 36
censusDivision 9
cbsaActualGeographicLocation 31084
providerType 36
censusDivision 9
cbsaActualGeographicLocation 31084
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 31084
providerType 36
specialPaymentIndicator
carrierCode 01182
localityCode 18
cbsaActualGeographicLocation 31084
providerType 36
carrierCode 01182
localityCode 18
cbsaActualGeographicLocation 31084
providerType 36
specialPaymentIndicator
carrierCode 01182
localityCode 18
cbsaActualGeographicLocation 31084
providerType 36
specialPaymentIndicator
carrierCode 01182
localityCode 18

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