# KMD HOME HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093567265
- **Authorized official:** MRS. MARINE BOYAJYAN (CEO)
- **Authorized official phone:** (424) 356-9296

## Contact information

- **Practice address:** 13615 VICTORY BLVD STE 214, VAN NUYS, CA 91401-1761
- **Practice address phone:** (424) 356-9296
- **Mailing address:** 13615 VICTORY BLVD STE 214, VAN NUYS, CA 91401-1761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2024
- **Last updated:** 04/02/2024