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Organization
SELAPHIEL HOME HEALTH CARE INC
Active
Organization
SELAPHIEL HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETROS GUMRIKYAN (CEO)
(888) 800-4885
Entity
Organization
Contact information
Practice address
1160 N CENTRAL AVE STE 204, GLENDALE, CA 91202-2568
(888) 800-4885
(818) 743-8707
Mailing address
1160 N CENTRAL AVE STE 204, GLENDALE, CA 91202-2568
(888) 800-4885
(818) 743-8707
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753136
PTAN
CA
Enumeration date
12/08/2020
Last updated
07/27/2026
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