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Organization
OAKS PRIVATE HOME CARE
Active
Organization
OAKS PRIVATE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SEWASEW FANTAYE RN (MANAGER)
(805) 358-5985
Entity
Organization
Contact information
Practice address
1782 FORDHAM AVE, THOUSAND OAKS, CA 91360-2033
(805) 358-5985
Mailing address
1782 FORDHAM AV, THOUSAND OAKS, CA 91360-2033
(805) 358-5985
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
525671
CA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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