# FORUM HEALTH SERVICES, INC.

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

## Provider details

- **NPI number:** 1205588159
- **Authorized official:** MR. SERGEY BEDROSSIAN (CEO)
- **Authorized official phone:** (818) 570-2494

## Contact information

- **Practice address:** 12722 RIVERSIDE DR STE 207A, VALLEY VILLAGE, CA 91607-3326
- **Practice address phone:** (818) 570-2494
- **Practice address fax:** (818) 301-3697
- **Mailing address:** 12722 RIVERSIDE DR STE 207A, VALLEY VILLAGE, CA 91607-3326
- **Mailing address phone:** (818) 570-2494
- **Mailing address fax:** (818) 301-3697

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2022
- **Last updated:** 01/21/2022
