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Organization

SUSAN'S CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN NUNEZ REPOLLO CNA/PHLEBOTOMIST (PRESIDENT)
(818) 481-4935
Entity
Organization

Contact information

Practice address
18100 HERBOLD ST., NORTHRIDGE, CA 91325
(818) 481-3945
Mailing address
18100 HERBOLD ST., NORTHRIDGE, CA 91325
(818) 481-3945

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3396260
CA

Other

Enumeration date
09/30/2011
Last updated
09/30/2011
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