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Organization
SUPPORTIVE HOME HEALTH CARE CORPORATION
Active
Organization
SUPPORTIVE HOME HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BOYM (PRESIDENT/CEO)
(818) 943-3434
Entity
Organization
Contact information
Practice address
17141 VENTURA BLVD STE 206, ENCINO, CA 91316-4033
(323) 456-0433
(323) 456-0503
Mailing address
17141 VENTURA BLVD STE 206, ENCINO, CA 91316-4033
(323) 456-0433
(323) 456-0503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08459F
—
CA
Enumeration date
05/23/2007
Last updated
11/19/2021
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