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Organization

MODERN CARE HOME HEALTH, INC

Active
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Organization

MODERN CARE HOME HEALTH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID VARDAPETYAN (CEO,CFO,OWNER,SECRETARY)
(818) 436-0153
Entity
Organization

Contact information

Practice address
16218 MIL POTRERO HWY UNIT 204 STE A, PINE MOUNTAIN CLUB, CA 93222
(818) 436-0153
(818) 617-2849
Mailing address
16218 MIL POTRERO HWY UNIT 204 STE A, PINE MOUNTAIN CLUB, CA 93222
(818) 436-0153
(818) 617-2849

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—

Other

Enumeration date
01/25/2023
Last updated
07/16/2024
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