# AVISA HOME CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003382474
- **Authorized official:** MR. PETER HENRY JONES (PRESIDENT)
- **Authorized official phone:** (310) 574-2234

## Contact information

- **Practice address:** 19146 VAN NESS AVE, TORRANCE, CA 90501-1101
- **Practice address phone:** (310) 574-2234
- **Practice address fax:** (310) 354-2601
- **Mailing address:** 19146 VAN NESS AVE, TORRANCE, CA 90501-1101
- **Mailing address phone:** (310) 574-2234
- **Mailing address fax:** (310) 354-2601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2018
- **Last updated:** 10/23/2018