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Organization
GOLDEN STATE HOME HEALTH AGENCY, INC
Active
Organization
GOLDEN STATE HOME HEALTH AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAYEL NERSISYAN (CEO)
(310) 562-7382
Entity
Organization
Contact information
Practice address
21133 VICTORY BLVD STE 203, CANOGA PARK, CA 91303-4016
(818) 835-9888
Mailing address
20741 DOLOROSA ST, WOODLAND HILLS, CA 91367-6837
(310) 562-7382
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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