# LAGLEN HOME INC

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

## Provider details

- **NPI number:** 1689262487
- **Authorized official:** KHALIL K MANSOUR (CEO)
- **Authorized official phone:** (747) 333-3012

## Contact information

- **Practice address:** 353 E ANGELENO AVE STE M, BURBANK, CA 91502-1310
- **Practice address phone:** (747) 333-3012
- **Practice address fax:** (747) 777-5570
- **Mailing address:** 353 E ANGELENO AVE STE M, BURBANK, CA 91502-1310
- **Mailing address phone:** (747) 333-3012
- **Mailing address fax:** (747) 777-5570

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2021
- **Last updated:** 05/01/2026