# LIFE-CARE HOME HEALTH & MEDICAL SUPPLIES, INC

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

## Provider details

- **NPI number:** 1710050307
- **Authorized official:** SHAWN S NAIM CMOF, BOC (CEO)
- **Authorized official phone:** (310) 479-0094

## Contact information

- **Practice address:** 11843 WILSHIRE BLVD, WEST LOS ANGELES, CA 90025-6601
- **Practice address phone:** (310) 479-0094
- **Mailing address:** 11843 WILSHIRE BLVD, WEST LOS ANGELES, CA 90025-6601
- **Mailing address phone:** (310) 479-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 100335 | CA | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 100335 | CA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | C17635 | CA | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 09/19/2007