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Organization
PROVISION HOME HEALTHCARE
Active
Organization
PROVISION HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNIE SHAKHVALADYAN (CEO)
(661) 383-3477
Entity
Organization
Contact information
Practice address
16600 SHERMAN WAY STE 205, VAN NUYS, CA 91406-3794
(747) 320-7574
Mailing address
16600 SHERMAN WAY STE 205, VAN NUYS, CA 91406-3794
(747) 320-7574
(213) 403-5392
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
03/24/2025
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