Provider Demographics
NPI:1710029541
Name:DWC HOME CARE,INC.
Entity Type:Organization
Organization Name:DWC HOME CARE,INC.
Other - Org Name:DWC HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA LUISA
Authorized Official - Middle Name:FRANCO
Authorized Official - Last Name:DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:310-386-4235
Mailing Address - Street 1:16551 E. MURPHY ROAD
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638
Mailing Address - Country:US
Mailing Address - Phone:310-386-4235
Mailing Address - Fax:562-947-2802
Practice Address - Street 1:15340 MANZANARES RD
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-3949
Practice Address - Country:US
Practice Address - Phone:562-943-9018
Practice Address - Fax:562-947-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities