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Organization
IVYSTONE HEALTHCARE LLC
Active
Organization
IVYSTONE HEALTHCARE LLC
Active
Other names
CareMax Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLYN GRACE BANO GATA RN (ADMINISTRATOR)
(805) 416-9266
Entity
Organization
Contact information
Practice address
17050 CHATSWORTH ST STE 210, GRANADA HILLS, CA 91344-5891
(818) 363-1500
(818) 363-6600
Mailing address
17050 CHATSWORTH ST STE 210, GRANADA HILLS, CA 91344-5891
(818) 363-1500
(818) 363-6600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001038
CA
Other
Enumeration date
10/20/2014
Last updated
10/29/2014
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