# AQUILA HEALTHCARE SYSTEMS, LLC

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

## Provider details

- **NPI number:** 1720265093
- **Authorized official:** MR. DAMON CLARK (CEO)
- **Authorized official phone:** (213) 380-1399

## Contact information

- **Practice address:** 3450 WILSHIRE BLVD, SUITE 1000, LOS ANGELES, CA 90010-2208
- **Practice address phone:** (213) 380-1399
- **Practice address fax:** (213) 380-4046
- **Mailing address:** 400 CORPORATE POINTE STE 300-56, CULVER CITY, CA 90230-7615
- **Mailing address phone:** (213) 380-1399
- **Mailing address fax:** (213) 380-4046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 980000772 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 02/02/2023