Organization
IVYSTONE HEALTHCARE LLC
Active
Other names
CareMax Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLYN GRACE BANO GATA RN (ADMINISTRATOR)
(805) 416-9266
Entity
Organization
Contact information
Practice address
17050 CHATSWORTH ST STE 210, GRANADA HILLS, CA 91344-5891
(818) 363-1500
(818) 363-6600
Mailing address
17050 CHATSWORTH ST STE 210, GRANADA HILLS, CA 91344-5891
(818) 363-1500
(818) 363-6600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001038
CA
Other
Enumeration date
10/20/2014
Last updated
10/29/2014
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