Organization
LSA EXCLUSIVE LLC
Active
Other names
FirstLight Home Care of Calabasas
Organization subpart
No
Provider details
NPI number
Authorized official
SHABANA AZMI JAMEEL AHAMED (MANAGING MEMBER)
(323) 423-0054
Entity
Organization
Contact information
Practice address
6320 CANOGA AVE STE 1500, WOODLAND HILLS, CA 91367-2517
(323) 423-0054
Mailing address
18948 LASSEN ST, NORTHRIDGE, CA 91324-1835
(323) 423-0054
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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