# MAVIANNA HOME HEALTH

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

## Provider details

- **NPI number:** 1467028316
- **Authorized official:** MARIAM VARDANYAN (CEO)
- **Authorized official phone:** (818) 658-9966

## Contact information

- **Practice address:** 5301 LAUREL CANYON BLVD STE 237A, VALLEY VILLAGE, CA 91607-2736
- **Practice address phone:** (818) 658-9966
- **Mailing address:** 5301 LAUREL CANYON BLVD STE 237A, VALLEY VILLAGE, CA 91607-2736
- **Mailing address phone:** (818) 658-9966

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2021
- **Last updated:** 11/10/2021