- Enrollment id
- O20190812000096
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1730662834
- Multiple npi flag
- N
- Ccn
- 559135
- Associate id
- 7719214907
- Organization name
- DNA HOME HEALTH SERVICES,INC.
- Incorporation date
- 2018-06-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18425 BURBANK BLVD
- Address line 2
- STE 417
- City
- TARZANA
- State
- CA
- Zip code
- 913562806