Organization
INTRACOMMUNITY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KINGSLEY RAJAH (OWNER PRESIDENT)
(818) 500-9014
Entity
Organization
Contact information
Practice address
610 S GLENDALE AVE, GLENDALE, CA 91205
(818) 500-9014
(818) 409-9300
Mailing address
610 S GLENDALE AVE, GLENDALE, CA 91205
(818) 500-9014
(818) 409-9300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DMEO1457F
—
CA
Enumeration date
09/12/2006
Last updated
08/22/2020
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