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Organization
PRIME PRO HOME HEALTH
Active
Organization
PRIME PRO HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOT TSAGHKLORYAN (CEO/CFO/OWNER)
(818) 369-1181
Entity
Organization
Contact information
Practice address
127 S BRAND BLVD STE 209, GLENDALE, CA 91204-1372
(818) 369-1181
Mailing address
127 S BRAND BLVD STE 209, GLENDALE, CA 91204-1372
(818) 369-1181
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
09/14/2023
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