- Enrollment id
- O20040623000503
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1750432167
- Multiple npi flag
- N
- Ccn
- 058058
- Associate id
- 9335124312
- Organization name
- ACCXELL HOME HEALTH AGENCY, INC
- Incorporation date
- 2003-04-03
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 370 AMAPOLA AVE
- Address line 2
- STE 203
- City
- TORRANCE
- State
- CA
- Zip code
- 905017240