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Organization
PRINCIPLE HOME HEALTH , INC.
Active
Organization
PRINCIPLE HOME HEALTH , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTON GORSKIKH (CEO/PREDIDENT)
(818) 830-0030
Entity
Organization
Contact information
Practice address
9608 VAN NUYS BLVD STE 204B, PANORAMA CITY, CA 91402-1043
(818) 830-0030
(818) 830-0307
Mailing address
9608 VAN NUYS BLVD STE 204B, PANORAMA CITY, CA 91402-1043
(818) 830-0030
(818) 830-0307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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