# LAVENDER HOME HEALTH

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

## Provider details

- **NPI number:** 1104390384
- **Authorized official:** MR. ARA GHAZARYAN (CEO)
- **Authorized official phone:** (818) 396-9209

## Contact information

- **Practice address:** 6901 TOPANGA CANYON BLVD STE 205, CANOGA PARK, CA 91303-2376
- **Practice address phone:** (818) 396-9209
- **Mailing address:** 6901 TOPANGA CANYON BLVD STE 205, CANOGA PARK, CA 91303-2376
- **Mailing address phone:** (818) 396-9209

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2019
- **Last updated:** 01/21/2019