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Organization
ST GREGORY HEALTHCARE
Active
Organization
ST GREGORY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGORI DAVTYAN (CEO)
(909) 999-0900
Entity
Organization
Contact information
Practice address
14545 FRIAR ST STE 237J, VAN NUYS, CA 91411-2397
(909) 999-0900
Mailing address
14545 FRIAR ST STE 237J, VAN NUYS, CA 91411-2397
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
11/12/2023
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