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General NPI Number Information
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NPI Number | 1891320685
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Entity Type | Organization
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Legal Business Name | ULTRACARE SERVICES LLC
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 1117 W MANCHESTER BLVD STE B
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City | INGLEWOOD
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State | CA
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Zip | 90301-1588
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Country | US
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Telephone | 818-266-9668
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Fax |
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Provider Business Mailing Address
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Address Line | 8549 WILSHIRE BLVD # 151
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3104
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Country | US
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Telephone | 310-691-8161
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Fax | 888-797-5605
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Authorized Official
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Title or Position | OWNER
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Name | LESLEE DEANES
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Credential |
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Telephone | 818-266-9668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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