Organization
INTRA CARE HOME HEALTH SFV, INC.
Active
Other names
Intra Care Home Health SFV, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIONALYN C. UGBEBOR RN (CEO)
(323) 782-0239
Entity
Organization
Contact information
Practice address
18401 BURBANK BLVD, SUITE 120, TARZANA, CA 91356-2822
(323) 782-0239
(323) 782-8194
Mailing address
18401 BURBANK BLVD, SUITE 120, TARZANA, CA 91356-2822
(323) 782-0239
(323) 782-8194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08055G
—
CA
Enumeration date
05/19/2006
Last updated
10/18/2012
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