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Organization

SPECTRE SENIOR SERVICES HOME HEALTH CARE

Active
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Organization

SPECTRE SENIOR SERVICES HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DMITRY UCHITEL (COMPLIANCE OFFICER)
(818) 281-7946
Entity
Organization

Contact information

Practice address
12340 SANTA MONICA BLVD STE 225, LOS ANGELES, CA 90025-2594
(310) 888-1125
Mailing address
12340 SANTA MONICA BLVD STE 225, LOS ANGELES, CA 90025-2594
(310) 888-1125

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—

Other

Enumeration date
11/27/2018
Last updated
11/27/2018
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