- Enrollment id
- O20191231000962
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1154824712
- Multiple npi flag
- N
- Ccn
- 559431
- Associate id
- 4082048954
- Organization name
- DIGNITY HOME HEALTH CARE SERVICES INC
- Incorporation date
- 2007-05-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 333 N SANTA ANITA AVE
- Address line 2
- STE 2
- City
- ARCADIA
- State
- CA
- Zip code
- 910062855