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Organization
ACACIA HH OF SOUTHERN CALIFORNIA, LLC
Active
Organization
ACACIA HH OF SOUTHERN CALIFORNIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVAG AGAZARYAN (PRESIDENT)
(818) 241-2200
Entity
Organization
Contact information
Practice address
1616 VICTORY BLVD, SUITE 205, GLENDALE, CA 91201-2947
(818) 241-2200
(818) 241-0671
Mailing address
1616 VICTORY BLVD, SUITE 205, GLENDALE, CA 91201-2947
(818) 241-2200
(818) 241-0671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/23/2008
Last updated
06/22/2023
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