Provider Demographics
NPI:1477788057
Name:LOYAL HOME COMPANION SERVICES
Entity Type:Organization
Organization Name:LOYAL HOME COMPANION SERVICES
Other - Org Name:LOYAL H0ME COMPANION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYLOU
Authorized Official - Middle Name:C
Authorized Official - Last Name:WYNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-726-2703
Mailing Address - Street 1:311 BOGIE ST
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-2915
Mailing Address - Country:US
Mailing Address - Phone:818-726-2703
Mailing Address - Fax:
Practice Address - Street 1:311 BOGIE ST
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-2915
Practice Address - Country:US
Practice Address - Phone:818-726-2703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health