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Organization
MIH PROJECT A, LLC
Active
Organization
MIH PROJECT A, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GEVORGYAN (OWNER)
(818) 336-6766
Entity
Organization
Contact information
Practice address
12611 AMBOY AVE, SYLMAR, CA 91342-3606
(818) 334-3408
Mailing address
12611 AMBOY AVE, SYLMAR, CA 91342-3606
(818) 336-6766
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550004114
CA
Other
Enumeration date
07/31/2018
Last updated
02/27/2020
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