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Organization

LIFE HOME HEALTH SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDRE KOUCHAVCHILI (CEO)
(747) 233-6111
Entity
Organization

Contact information

Practice address
17337 VENTURA BLVD STE 304, ENCINO, CA 91316-4902
(747) 233-1116
Mailing address
17337 VENTURA BLVD STE 304, ENCINO, CA 91316-4902
(747) 233-1116

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
364SH0200X
Home Health Clinical Nurse Specialist

Other

Enumeration date
10/13/2019
Last updated
09/30/2022
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