Organization
FIRST RESPONCE HOME HEALTH,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS VAKSHLYAK (ADMINISTRATOR)
(310) 989-7825
Entity
Organization
Contact information
Practice address
14545 VICTORY BLVD UNIT 603, VAN NUYS, CA 91411-1620
(310) 989-7825
Mailing address
14545 VICTORY BLVD UNIT 603, VAN NUYS, CA 91411-1620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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