| Home From Home Inc | |
|
4125 South Street Lakewood CA 90711-1043 | |
| (562) 682-3858 | |
| (562) 391-4442 |
| Full Name | Home From Home Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4125 South Street, Lakewood, California |
| Authorized Official Name and Position | Julius Irumundomon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5626823858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home From Home Inc 4125 South Street Lakewood CA 90711 Ph: (562) 682-3858 | Home From Home Inc 4125 South Street Lakewood CA 90711-1043 Ph: (562) 682-3858 |
| NPI Number | 1053578393 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053578393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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