- Enrollment id
- O20230523001132
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437689031
- Multiple npi flag
- N
- Ccn
- 757471
- Associate id
- 0345636536
- Organization name
- FACE 2 FACE HOME HEALTH INC
- Incorporation date
- 2017-03-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6501 FOOTHILL BLVD
- Address line 2
- STE 201B
- City
- TUJUNGA
- State
- CA
- Zip code
- 910422790