Provider Demographics
NPI:1679809586
Name:AFFORDABLE NURSING CARE & SERVICES
Entity type:Organization
Organization Name:AFFORDABLE NURSING CARE & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-836-1211
Mailing Address - Street 1:3760 MOTOR AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-6404
Mailing Address - Country:US
Mailing Address - Phone:310-836-1211
Mailing Address - Fax:310-836-0922
Practice Address - Street 1:3760 MOTOR AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-6404
Practice Address - Country:US
Practice Address - Phone:310-836-1211
Practice Address - Fax:310-836-0922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0002275200-0001-6253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care