# SUSAN'S CARE AGENCY

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

## Provider details

- **NPI number:** 1891079414
- **Authorized official:** MRS. SUSAN NUNEZ REPOLLO CNA/PHLEBOTOMIST (PRESIDENT)
- **Authorized official phone:** (818) 481-4935

## Contact information

- **Practice address:** 18100 HERBOLD ST., NORTHRIDGE, CA 91325
- **Practice address phone:** (818) 481-3945
- **Mailing address:** 18100 HERBOLD ST., NORTHRIDGE, CA 91325
- **Mailing address phone:** (818) 481-3945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 3396260 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2011
- **Last updated:** 09/30/2011