Organization
AQUILA HEALTHCARE SYSTEMS, LLC
Active
Other names
Total Care Nursing Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON CLARK (MANAGER)
(213) 380-1399
Entity
Organization
Contact information
Practice address
3450 WILSHIRE BLVD, SUITE 1000, LOS ANGELES, CA 90010-2208
(213) 380-1399
Mailing address
400 CORPORATE POINTE STE 300, CULVER CITY, CA 90230-7620
(213) 380-1399
(323) 380-4046
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980000772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200320310073
CALIFORNIA LLC NUMBER
CA
Enumeration date
01/08/2008
Last updated
02/02/2023
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