# A LA CARTE COMPANION SERVICES

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

## Provider details

- **NPI number:** 1205142254
- **Authorized official:** MS. ROSE M AVERY CNA/CHHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (323) 845-5200

## Contact information

- **Practice address:** 3363 SIERRA ST, LOS ANGELES, CA 90031-2134
- **Practice address phone:** (323) 845-5200
- **Practice address fax:** (323) 221-4313
- **Mailing address:** 2554 LINCOLN BLVD, \#168, VENICE, CA 90291-5082
- **Mailing address phone:** (323) 845-5200
- **Mailing address fax:** (323) 221-4313

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2010
- **Last updated:** 08/28/2010