Organization
EXCELLENT IN-HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHOSROW ASSADI (ADMINISTRATOR/OWNER)
(818) 755-4900
Entity
Organization
Contact information
Practice address
16601 VENTURA BLVD, #506, ENCINO, CA 91436-1921
(818) 755-4900
(818) 654-0336
Mailing address
16601 VENTURA BLVD, #506, ENCINO, CA 91436-1921
(818) 755-4900
(818) 654-0336
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08000F
—
CA
Enumeration date
09/01/2005
Last updated
05/12/2008
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