# WRAY2LOFT HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstLight Home Care of West LA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508374620
- **Authorized official:** MRS. TARA LOFTUS (OWNER)
- **Authorized official phone:** (818) 426-9731

## Contact information

- **Practice address:** 5121 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1496
- **Practice address phone:** (818) 539-7818
- **Mailing address:** 5121 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 194700498 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2018
- **Last updated:** 06/11/2019