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Organization
PRO-SERVICE HOME HEALTH
Active
Organization
PRO-SERVICE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIT SHADAREEVIAN (CEO)
(818) 683-2403
Entity
Organization
Contact information
Practice address
10235 SEPULVEDA BLVD STE B, MISSION HILLS, CA 91345-2639
(818) 683-2403
(818) 683-2404
Mailing address
10235 SEPULVEDA BLVD STE B, MISSION HILLS, CA 91345-2639
(818) 683-2403
(818) 683-2404
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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