# DATACARE HOME HEALTH SERVICES, INC

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

## Provider details

- **NPI number:** 1104935162
- **Authorized official:** MRS. NATIVIDAD F AZURIN (ADMINISTRATOR)
- **Authorized official phone:** (323) 257-2208

## Contact information

- **Practice address:** 3964 EAGLE ROCK BLVD, LOS ANGELES, CA 90065-3606
- **Practice address phone:** (323) 257-2208
- **Practice address fax:** (323) 257-2228
- **Mailing address:** 3964 EAGLE ROCK BLVD, LOS ANGELES, CA 90065-3606
- **Mailing address phone:** (323) 257-2208
- **Mailing address fax:** (323) 257-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | CA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020