Organization
MADISON HEALTHCARE, INC.
Active
Other names
Madison Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN JAMES QUINN SR. (ADMINISTRATOR)
(562) 799-1234
Entity
Organization
Contact information
Practice address
18720 OXNARD ST, STE 114, TARZANA, CA 91356-5943
(818) 345-1111
(818) 345-1385
Mailing address
18720 OXNARD ST, STE 114, TARZANA, CA 91356-5943
(818) 345-1111
(818) 345-1385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980000782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57624H
—
CA
Enumeration date
06/23/2005
Last updated
08/22/2020
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