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Organization
WRAY2LOFT HOME CARE LLC
Active
Organization
WRAY2LOFT HOME CARE LLC
Active
Other names
FirstLight Home Care of West LA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA LOFTUS (OWNER)
(818) 426-9731
Entity
Organization
Contact information
Practice address
5121 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1496
(818) 539-7818
Mailing address
5121 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1496
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
194700498
CA
Other
Enumeration date
01/11/2018
Last updated
06/11/2019
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