- Enrollment id
- O20210222000033
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1538750872
- Multiple npi flag
- N
- Ccn
- 757175
- Associate id
- 2668887829
- Organization name
- ALL SEASON HOME HEALTH INC
- Incorporation date
- 2020-05-29
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 436 W COLORADO ST
- Address line 2
- STE 225
- City
- GLENDALE
- State
- CA
- Zip code
- 912041468