Provider Demographics
NPI:1851098271
Name:MEN'S HANDY CARE HOME ASSISTANT GROUP LLC.
Entity Type:Organization
Organization Name:MEN'S HANDY CARE HOME ASSISTANT GROUP LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATIONAL CARE PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:LAVAL
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-401-4853
Mailing Address - Street 1:18717 CORBY AVE
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-5623
Mailing Address - Country:US
Mailing Address - Phone:323-817-5257
Mailing Address - Fax:
Practice Address - Street 1:18717 CORBY AVE # 1/2 1/2
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-5623
Practice Address - Country:US
Practice Address - Phone:323-817-5257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty