- Enrollment id
- O20200803000338
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437776390
- Multiple npi flag
- N
- Ccn
- 559748
- Associate id
- 2668897075
- Organization name
- FLAWLESS CARE HOME HEALTH SERVICES INC
- Incorporation date
- 2020-05-27
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4119 W BURBANK BLVD
- Address line 2
- STE 140
- City
- BURBANK
- State
- CA
- Zip code
- 915052122