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Organization
GREAT LIFE HOME CARE INC
Active
Organization
GREAT LIFE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGOR GEVORGYAN (CEO)
(818) 927-0122
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD STE 422, ENCINO, CA 91436-2914
(818) 927-0122
Mailing address
15720 VENTURA BLVD STE 422, ENCINO, CA 91436-2914
(818) 927-0122
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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