CCN: 757864 NPI: 1740854454 Organization

Age Home Health Care

16430 VANOWEN ST STE 206
LAKE BALBOA, CA 914064729

Contact Information

Phone 7472459822
Enumeration Date 2021-05-17
Last Updated 2021-05-17

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator