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Organization
SAM HOME HEALTH, INC
Active
Organization
SAM HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA AGOPIAN (CEO)
(818) 210-0337
Entity
Organization
Contact information
Practice address
12444 VICTORY BLVD STE 302, NORTH HOLLYWOOD, CA 91606-3199
(818) 210-0337
Mailing address
10545 BURBANK BLVD STE 108, NORTH HOLLYWOOD, CA 91601-2247
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
11/19/2018
Last updated
08/23/2021
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