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Organization
PROVIDENCE HOME HEALTH CARE, INC
Active
Organization
PROVIDENCE HOME HEALTH CARE, INC
Active
Other names
Providence Home Health care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MANOUSHAK AKHOYAN (CEO)
(626) 792-0911
Entity
Organization
Contact information
Practice address
424 N LAKE AVE, SUITE 202, PASADENA, CA 91101-1200
(626) 792-0911
(626) 792-8911
Mailing address
424 N LAKE AVE, SUITE 202, PASADENA, CA 91101-1200
(626) 792-0911
(626) 792-8911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001498
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HH08218F
—
CA
Enumeration date
03/14/2007
Last updated
07/01/2020
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