Individual Care Services
NPI #1811317423 in Marina Del Rey, California
Provider Information
- NPI Number
- 1811317423
- Entity Type
- Organization
- Organization Name
- Individual Care Services
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Apr 22, 2014
- Last Updated
- Apr 22, 2014
Practice Location
- Address
- 13488 MAXELLA AVE
- Address 2
- UNIT 311
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-4300
- Phone
- (310) 795-5839
Authorized Official
- Name
- MR. JEREMIAH WILLIAMS II
- Title
- OWNER
- Phone
- (310) 795-5839
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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