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Organization

LTC HOME HEALTH CARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE M. BECKHAM (EXCUTIVE DIRECTOR)
(323) 254-9162
Entity
Organization

Contact information

Practice address
1063 COLORADO BLVD, EAGLE ROCK, CA 90041-2501
(323) 254-9162
Mailing address
1063 COLORADO BLVD, EAGLE ROCK, CA 90041-2501
(323) 254-9162

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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