# INTRA CARE HOME HEALTH PROVIDERS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700871233
- **Authorized official:** MS. DIONALYN UGBEBOR RN,BSN (ADMINISTRATOR)
- **Authorized official phone:** (323) 964-0884

## Contact information

- **Practice address:** 4929 WILSHIRE BLVD, SUITE 210, LOS ANGELES, CA 90010-3808
- **Practice address phone:** (323) 964-0884
- **Practice address fax:** (323) 857-7206
- **Mailing address:** 4929 WILSHIRE BLVD, SUITE 210, LOS ANGELES, CA 90010-3808
- **Mailing address phone:** (323) 964-0884
- **Mailing address fax:** (323) 857-7206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 980001387 | CA | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 11/07/2018