NPI 1457079675
Mary Mountain Home Care LLC
Practice location
- Address
- 11203 Malat Way, Culver City, CA 90230-5501
- Phone
- (818) 669-6780
- Mailing address
- 3415 S Sepulveda Blvd STE 1100, Los Angeles, CA 90034-7090
Authorised official
- Name
- Angie Nance
- Title
- President
- Phone
- (818) 669-6780
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1457079675
- Entity type
- Organization
- NPI issued
- 15 Aug 2022
- Record last updated
- 19 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.