- Enrollment id
- O20201001002576
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1023649530
- Multiple npi flag
- N
- Ccn
- 559351
- Associate id
- 5294154746
- Organization name
- WELL-BEING HOME HEALTH SERVICES, INC.
- Incorporation date
- 2019-12-17
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 224 E OLIVE AVE
- Address line 2
- STE 218
- City
- BURBANK
- State
- CA
- Zip code
- 915021234