Organization
360 HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAYEL NERSISYAN RN (PRESIDENT)
(818) 888-0100
Entity
Organization
Contact information
Practice address
21133 VICTORY BLVD, SUITE 206, CANOGA PARK, CA 91303-2829
(818) 888-0100
Mailing address
20741 DOLOROSA ST, WOODLAND HILLS, CA 91367-6837
(818) 888-0100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
10/13/2014
Last updated
12/14/2014
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