# INTRACOMMUNITY HOME CARE INC

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

## Provider details

- **NPI number:** 1962506535
- **Authorized official:** MR. KINGSLEY RAJAH (OWNER PRESIDENT)
- **Authorized official phone:** (818) 500-9014

## Contact information

- **Practice address:** 610 S GLENDALE AVE, GLENDALE, CA 91205
- **Practice address phone:** (818) 500-9014
- **Practice address fax:** (818) 409-9300
- **Mailing address:** 610 S GLENDALE AVE, GLENDALE, CA 91205
- **Mailing address phone:** (818) 500-9014
- **Mailing address fax:** (818) 409-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 100217 | CA | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/22/2020