- Enrollment id
- O20230510002153
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1497415483
- Multiple npi flag
- N
- Ccn
- 757337
- Associate id
- 2860858230
- Organization name
- L & T HOME HEALTH INC
- Incorporation date
- 2021-12-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 220 S KENWOOD ST
- Address line 2
- STE 208
- City
- GLENDALE
- State
- CA
- Zip code
- 912051671