# LIGHT HOME CARE, INC.

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

## Provider details

- **NPI number:** 1386002970
- **Authorized official:** EDGAR KESHISHYAN (PRESIDENT/CEO)
- **Authorized official phone:** (818) 500-9012

## Contact information

- **Practice address:** 511 E HARVARD ST, STE 1, GLENDALE, CA 91205-1184
- **Practice address phone:** (818) 500-9012
- **Practice address fax:** (818) 500-9013
- **Mailing address:** 511 E HARVARD ST, STE 1, GLENDALE, CA 91205-1184
- **Mailing address phone:** (818) 500-9012
- **Mailing address fax:** (818) 500-9013

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2016
- **Last updated:** 02/10/2016