Organization
ULTRACARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEE DEANES (OWNER)
(818) 266-9668
Entity
Organization
Contact information
Practice address
1117 W MANCHESTER BLVD STE B, INGLEWOOD, CA 90301-1588
(818) 266-9668
Mailing address
8549 WILSHIRE BLVD # 151, BEVERLY HILLS, CA 90211-3104
(310) 691-8161
(888) 797-5605
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194700273
STATE LICENSE
CA
Enumeration date
03/11/2020
Last updated
12/05/2023
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