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Organization
XL CARE INC
Active
Organization
XL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRTIY GRINBERG (CFO)
(818) 785-2944
Entity
Organization
Contact information
Practice address
20350 VENTURA BLVD STE 140, WOODLAND HILLS, CA 91364-2484
(818) 785-2944
(818) 785-2956
Mailing address
20350 VENTURA BLVD STE 140, WOODLAND HILLS, CA 91364-2484
(818) 785-2944
(818) 785-2956
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
980001478
HOME HEALTH AGENCY LICENS
CA
01
—
HH980002368
STATE FACILITY ID
CA
05
—
HHA08236F
—
CA
Enumeration date
11/02/2005
Last updated
10/21/2019
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