Organization
GREAT GRACE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTUR GAZARYAN (CEO)
(818) 480-4829
Entity
Organization
Contact information
Practice address
401 N BRAND BLVD STE 834, GLENDALE, CA 91203-4451
(818) 480-4829
(877) 426-0187
Mailing address
401 N BRAND BLVD STE 834, GLENDALE, CA 91203-4451
(818) 480-4829
(877) 426-0187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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