Organization
WRAY2LOFT HOME CARE LLC
Active
Other names
FirstLight Home Care of West LA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA LOFTUS (OWNER)
(818) 426-9731
Entity
Organization
Contact information
Practice address
5121 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1496
(818) 539-7818
Mailing address
5121 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1496
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
194700498
CA
Other
Enumeration date
01/11/2018
Last updated
06/11/2019
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