# FULL SERVICE HOME HEALTH

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

## Provider details

- **NPI number:** 1801542055
- **Authorized official:** KNARIK VARDANYAN (CEO)
- **Authorized official phone:** (818) 619-7238

## Contact information

- **Practice address:** 502 W ROUTE 66 STE 23, GLENDORA, CA 91740-4378
- **Practice address phone:** (818) 624-6360
- **Mailing address:** 502 W ROUTE 66 STE 23, GLENDORA, CA 91740-4378
- **Mailing address phone:** (818) 624-6360

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2022
- **Last updated:** 02/25/2022