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Organization
VICTORIA HOME HEALTH NURSING AGENCY, INC.
Active
Organization
VICTORIA HOME HEALTH NURSING AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LUCIA BASILIO INGENTE RN (ADMINISTRATOR DON)
(323) 653-3830
Entity
Organization
Contact information
Practice address
8455 BEVERLY BLVD, STE 302, LOS ANGELES, CA 90048-3421
(323) 653-3830
(323) 653-3880
Mailing address
8455 BEVERLY BLVD, SUITE 302, LOS ANGELES, CA 90048-3416
(323) 653-3830
(323) 653-3880
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08208F
—
CA
Enumeration date
05/27/2005
Last updated
03/13/2008
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