- Enrollment id
- O20221025002958
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1538814611
- Multiple npi flag
- N
- Ccn
- 757987
- Associate id
- 5496121998
- Organization name
- L & N HOME HEALTH
- Incorporation date
- 2021-05-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 121 W LEXINGTON DR
- Address line 2
- STE 307C
- City
- GLENDALE
- State
- CA
- Zip code
- 912032203
- Practice location type
- HHA BRANCH