# LAVANDA HOME HEALTH CARE AGENCY INC

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

## Provider details

- **NPI number:** 1245321751
- **Authorized official:** NATHAN JULIAN (CEO)
- **Authorized official phone:** (818) 840-0003

## Contact information

- **Practice address:** 11490 BURBANK BLVD, \#3E, NORTH HOLLYWOOD, CA 91601-2389
- **Practice address phone:** (818) 760-9656
- **Practice address fax:** (818) 760-9635
- **Mailing address:** 2501 W BURBANK BLVD, SUITE 312, BURBANK, CA 91505-2347
- **Mailing address phone:** (818) 840-0003
- **Mailing address fax:** (818) 840-0069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 980001555 | CA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 01/25/2008
