# MIDCITY HOME HEALTH AGENCY

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

## Provider details

- **NPI number:** 1225773815
- **Authorized official:** YEGHIAZAR KOSTEGHYAN (PREISDENT/CEO/CFO/SECRETARY)
- **Authorized official phone:** (323) 447-9997

## Contact information

- **Practice address:** 8817 RESEDA BLVD STE C, NORTHRIDGE, CA 91324-5364
- **Practice address phone:** (323) 447-9997
- **Mailing address:** 8817 RESEDA BLVD STE C, NORTHRIDGE, CA 91324-5364
- **Mailing address phone:** (323) 447-9997

## Taxonomy

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

## Other

- **Enumeration date:** 04/28/2022
- **Last updated:** 04/28/2022