Provider Demographics
NPI:1932921996
Name:LICE-FREE CARE
Entity type:Organization
Organization Name:LICE-FREE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANSETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-336-4820
Mailing Address - Street 1:13761 GOLDENWEST ST UNIT 4191
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92684-2487
Mailing Address - Country:US
Mailing Address - Phone:714-794-2443
Mailing Address - Fax:
Practice Address - Street 1:15310 1/2 EUCALYPTUS AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-3706
Practice Address - Country:US
Practice Address - Phone:323-336-4820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care