- Enrollment id
- O20201215000624
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1497370340
- Multiple npi flag
- N
- Ccn
- 757029
- Associate id
- 7911319025
- Organization name
- GMM HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3800 W BURBANK BLVD
- Address line 2
- STE 103
- City
- BURBANK
- State
- CA
- Zip code
- 915052148