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Organization
WESTERN STATES HOMEHEALTH CARE AGENCY INC
Active
Organization
WESTERN STATES HOMEHEALTH CARE AGENCY INC
Active
Other names
Western State Home Health Care,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EPHREM TILAHUN (ADMINISTRATOR/ C.F.O.)
(310) 672-4581
Entity
Organization
Contact information
Practice address
5777 W CENTURY BLVD STE 610, LOS ANGELES, CA 90045-5600
(310) 672-4581
(310) 672-6586
Mailing address
5777 W CENTURY BLVD STE 610, LOS ANGELES, CA 90045-5600
(310) 672-4581
(310) 672-6586
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08097F
—
CA
01
—
ZZZ06223Z
BLUE SHIELD
—
Enumeration date
02/02/2006
Last updated
01/23/2020
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