Provider Demographics
NPI:1710452008
Name:LSZ HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:LSZ HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LATEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-992-2665
Mailing Address - Street 1:1264 S WATERMAN AVE STE 55
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-2851
Mailing Address - Country:US
Mailing Address - Phone:951-992-2665
Mailing Address - Fax:909-363-7342
Practice Address - Street 1:1264 S WATERMAN AVE STE 55
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-2851
Practice Address - Country:US
Practice Address - Phone:951-992-2665
Practice Address - Fax:909-363-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health